NPIMap

Individual provider Active NPI

Carla D Dirmann, NP

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1851624282
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP1264A Issued in ID
Practice address
1673 W Shoreline Dr Ste 100
Boise, ID 83702-6749
Phone
(208) 593-3054
Fax
(208) 215-3764
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP1264A ID Primary

Addresses

Primary practice location

1673 W Shoreline Dr Ste 100
Boise, ID 83702-6749

Mailing address

1673 W Shoreline Dr Ste 100
Boise, ID 83702-6749
Phone (208) 593-3054

Other names 1

  • Carla D Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141203002169 ID Practitioner - Nurse Practitioner 2961549456 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1673 W Shoreline Dr
Suite 100
Boise, ID 83702-6749
Phone (208) 593-3054

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1264AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vibra Physicians LLC CurrentSince Oct 1, 2016 Accepting new patients
Cherry Heights Family Clinic LLC CurrentSince Oct 1, 2021 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Nov 1, 2015 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Riverside Primary Care Adult and Geriatric Medicine Plllp CurrentSince Aug 17, 2023 Accepting new patients
Key Stone Health Care CurrentSince Jun 1, 2019 Accepting new patients
North Canyon Medical Center Inc. Current Accepting new patients
Conrad Pearson Clinic PC Past Accepting new patients
Keystone Hospice, LLC PastSince Aug 11, 2019 Accepting new patients

Locations

1673 W Shoreline Dr
Ste 100
Boise, ID 83702
Phone (208) 322-0485

21 N Fisher Park Way
Eagle, ID 83616
Phone (208) 514-0670

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

1552 N Crestmont Dr
Ste B
Meridian, ID 83642

1560 N Crestmont Dr
Ste A
Meridian, ID 83642
Phone (208) 650-4888

2131 S Bonito Way
Meridian, ID 83642
Phone (208) 202-4700

Interoperability endpoints

  • Direct secure messaging: carla.dirmann.1@29411.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1851624282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 W SHORELINE DR STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026749",
            "telephone_number": "208-593-3054",
            "fax_number": "208-215-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 W SHORELINE DR STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026749",
            "telephone_number": "208-593-3054",
            "fax_number": "208-215-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRMANN",
        "first_name": "CARLA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP1264A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "BROWN",
            "middle_name": "D",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.