Active NPI
Brandi B Karroum, NP-C
- Family Nurse Practitioner
- Chubbuck, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-1201A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-1201A | ID | MD | Family Nurse Practitioner |
| 32400.1256 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Health West, Inc. | Current | Accepting new patients | |
| Health West, Inc. | Current | 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.
-
dba Health West Preston Clinic
- Federally Qualified Health Center (FQHC)
- Preston, ID
- NPI 1033595541
-
dba Health West Aberdeen Clinic
- Federally Qualified Health Center (FQHC)
- Aberdeen, ID
- NPI 1295734796
Family Medicine
-
dba Health West Downey Clinic
- Federally Qualified Health Center (FQHC)
- Downey, ID
- NPI 1588666945
Family Medicine
-
dba Health West American Falls Clinic
- Federally Qualified Health Center (FQHC)
- American Falls, ID
- NPI 1629077235
Family Medicine
-
dba Sryinga Elementary School
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1740143882
-
dba Health West Pediatrics and OB/GYN
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1942772223
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.