Active NPI
Sierra Faith Blanke
- Computed Tomography Radiologic Technologist
- Caldwell, ID
National Provider Identifier
1699628669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- License
- 1040250
- Practice address
- 12585 Trinidad St
Caldwell, ID 83607-5571 - Phone
- (208) 697-3276
- NPI assigned
- Feb 18, 2026
- Last updated
- Feb 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 1040250 | ID | |
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 1040250 | ID | |
| Computed Tomography Radiologic Technologist | 2471C3401X | 1040250 | ID | Primary |
Addresses
Primary practice location
12585 Trinidad St
Caldwell, ID 83607-5571
Mailing address
12585 Trinidad St
Caldwell, ID 83607-5571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040250 | ID | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1699628669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12585 TRINIDAD ST",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836075571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12585 TRINIDAD ST",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836075571",
"telephone_number": "208-697-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKE",
"first_name": "SIERRA",
"middle_name": "FAITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "ID",
"license": "1040250",
"primary": false
},
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "ID",
"license": "1040250",
"primary": false
},
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "ID",
"license": "1040250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.