Sandcreek Echo, Inc.

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

Legal business name

SANDCREEK ECHO, INC.

Practice address

2050 E 25TH St
Idaho Falls, ID 83404-6490

Phone

(208) 529-2561

Fax

(208) 529-2568

NPI assigned

Jan 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Carpenter, RDCS,RVT

Title

President

Phone

(208) 529-2561

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366422248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046490",
            "telephone_number": "208-529-2561",
            "fax_number": "208-529-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046490",
            "telephone_number": "208-529-2561",
            "fax_number": "208-529-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDCREEK ECHO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-529-2561",
        "authorized_official_credential": "RDCS,RVT"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8D780",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010029412",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sonography Specialist/Technologist Cardiovascular in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Sonography Specialist/Technologist Cardiovascular in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.