Sacred Roots Fertility Consulting, PLLC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

SACRED ROOTS FERTILITY CONSULTING, PLLC

Practice address

176 E Calderwood Dr Ste 125D
Meridian, ID 83642-9095

Phone

(208) 402-8946

Fax

(208) 248-6939

NPI assigned

Feb 2, 2026

Organization subpart

No

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

Authorized official

Name

Brennan Nicole Carmody, NP, CEONPI 1629400734

Title

Ceo

Phone

(208) 631-2121

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brennan N Carmody, NP

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1629400734
  NPD Authorized official

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1992655526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 W OAKHAMPTON DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167632",
            "telephone_number": "208-402-8946",
            "fax_number": "208-248-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 E CALDERWOOD DR STE 125D",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429095",
            "telephone_number": "208-402-8946",
            "fax_number": "208-248-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED ROOTS FERTILITY CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "CARMODY",
        "authorized_official_first_name": "BRENNAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-631-2121",
        "authorized_official_credential": "NP, CEO"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Women's Health Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Women's Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.