Individual provider Active NPI

Brandi B Karroum, NP-C

  • Family Nurse Practitioner
  • Chubbuck, ID
National Provider Identifier
1548517972
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1201A Issued in ID
Practice address
880 W Quinn Rd
Chubbuck, ID 83202-2454
Phone
(208) 238-2000
Fax
(844) 489-0616
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32400.1256 WY
Family Nurse Practitioner 363LF0000X NP-1201A ID Primary

Addresses

Primary practice location

880 W Quinn Rd
Chubbuck, ID 83202-2454

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP-1201AIDMDFamily Nurse Practitioner
32400.1256WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine CurrentSince Feb 19, 2014 Accepting new patients
Health West, Inc. Current Accepting new patients
Health West, Inc. CurrentSince Feb 19, 2014 Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients
Health West, Inc. Family Medicine Current Accepting new patients

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

204 Center St
McCammon, ID 83250
Phone (208) 254-9326

1000 N 8th Ave
Pocatello, ID 83201
Phone (208) 232-6260

500 S 11th Ave
Ste 400
Pocatello, ID 83201

880 W Quinn Rd
Pocatello, ID 83202
Phone (208) 238-2000

465 Memorial Dr
Pocatello, ID 83201
Phone (208) 234-4700

655 S 4th E
Ste 600
Preston, ID 83263
Phone 20823278621122

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1548517972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W QUINN RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022454",
            "telephone_number": "208-238-2000",
            "fax_number": "844-489-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARROUM",
        "first_name": "BRANDI",
        "middle_name": "B",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "32400.1256",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1201A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.