Organization Active NPI

Carmen Hernandez Radford

  • Public Health or Welfare Agency
  • Idaho Falls, ID
National Provider Identifier
1588038616
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
NP-1660A Issued in ID
Legal business name
CARMEN HERNANDEZ RADFORD
Practice address
3652 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone
(208) 419-0593
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Carmen Hernandez Radford
Title
FNP
Phone
(208) 757-1854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NP-1660A ID Primary

Addresses

Primary practice location

3652 Washington Pkwy
Idaho Falls, ID 83404-7573

Mailing address

5451 Thatcher Ave
Idaho Falls, ID 83404-4935
Phone (208) 757-1854

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1588038616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 THATCHER AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044935",
            "telephone_number": "208-757-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 WASHINGTON PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047573",
            "telephone_number": "208-419-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN HERNANDEZ RADFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "HERNANDEZ",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "208-757-1854"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ID",
            "license": "NP-1660A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.