Brenda Emery, CPRP

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

540 3Rd Street
Idaho Falls, ID 83401

Phone

(208) 524-5607

Fax

(208) 535-0942

NPI assigned

Jul 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Brenda Richards Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992227367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 3RD ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013953",
            "telephone_number": "208-524-5607",
            "fax_number": "208-535-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 3RD STREET",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83401",
            "telephone_number": "208-524-5607",
            "fax_number": "208-535-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "BRENDA",
        "credential": "CPRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "RICHARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gary Earl Ellwein, MD
• Louis Davis Ellwood
• Michele Marie Elsbree, LMSW
• Marie L Elser, LMSW
• Emergency Orthopedic Services of Idaho PLLC
• Taylor Emery, AGACNP-BC
• William D Emery
• Adam Gary Emfield, BS
• Donna Marie Emfield, LPC3379
• Lyndi Michelle Emfield, LAMFT

• Rehabilitation Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Rehabilitation Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.