Nurture Lactation Support for Women & Infants

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

NURTURE LACTATION SUPPORT FOR WOMEN & INFANTS

Practice address

5480 Gleneagles Dr
Idaho Falls, ID 83401-6315

Phone

(208) 569-9031

NPI assigned

Dec 3, 2018

Organization subpart

No

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

Authorized official

Name

Kristie Karroum, FNPNPI 1922513886

Title

Provider

Phone

(208) 569-9031

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristie Glen Karroum, FNP-C

  • Pediatric Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1922513886

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1740750710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 GLENEAGLES DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016315",
            "telephone_number": "208-569-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 GLENEAGLES DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834016315",
            "telephone_number": "208-569-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE LACTATION SUPPORT FOR WOMEN & INFANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "KARROUM",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "208-569-9031",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "FNP57631",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northstar Healthcare LLC
• Angelina Lerae Norton, ACADC, MSW
• Novotelehealth
• Shaneish Nugent Lopez, MD
• Nurse Practitioners Care LLC
• Nurturing Connections Therapeutic Services LLC
• Gjori Nykreim
• Patrick J O'Bannon
• Brian E O'Byrne, MD
• John Patrick O'Neal, LCPC

• Pediatric Nurse Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Pediatric Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.