Active NPI
Carmen Hernandez Radford
- Public Health or Welfare Agency
- Idaho Falls, ID
National Provider Identifier
1588038616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- NP-1660A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.