Active NPI
Carmen Radford, LNP
- Nurse Practitioner
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP1660A
- Practice address
- 3652 Washington Pkwy
Idaho Falls, ID 83404-7573 - Phone
- (208) 419-0593
- Fax
- (208) 524-1222
- NPI assigned
- Dec 8, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP1660A | ID | Primary |
Addresses
Primary practice location
3652 Washington Pkwy
Idaho Falls, ID 83404-7573
Mailing address
3652 Washington Pkwy
Idaho Falls, ID 83404-7573
Phone (208) 419-0593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH Inc
Practice addresses (Care Compare)
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
3456 E 17TH St
Suite 125
Ammon, ID 83406-6759
Phone (208) 529-2828
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
- Brio Idaho Healthcare
- Bingham Memorial Hospital
- Mountain View Hospital
- Eastern Idaho Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1660A | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH Inc | Current | Accepting new patients | |
| BMH Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc. | Past | Accepting new patients |
Locations
3456 E 17th St
Ste 125B
Ammon, ID 83406
Phone (208) 419-0593
3456 E 17th St
Ste 125
Ammon, ID 83406
Phone (208) 529-2828
1350 Parkway Dr
Ste A
Blackfoot, ID 83221
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
3302 Valencia Dr
Ste 120
Idaho Falls, ID 83404
Phone (208) 535-3635
1740 E 17th St
Idaho Falls, ID 83404
Phone (208) 346-8866
3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400
4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720
275 W Locust St
Ste A
Shelley, ID 83274
Interoperability endpoints
- carmen.radford.1@12399.direct.athenahealth.com
- carmenradford@bmh.medalliesdirect.net
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1881190650
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1285189548
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1710352349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3652 WASHINGTON PKWY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047573",
"telephone_number": "208-419-0593",
"fax_number": "208-524-1222"
},
{
"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",
"fax_number": "208-524-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "CARMEN",
"credential": "LNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-08",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP1660A",
"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 8, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.