NPI age
7 years
Enumerated 2018-07-11
● Active
Type 1 · Individual
Breanna Carlos
Carlos is 1 of 187 student in an organized health care education/training program providers in Pocatello and 1 of 516 in Idaho.
Primary specialty
Student in an Organized Health Care Education/Training Program
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-07-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 516 active student in an organized health care education/training program providers in Idaho.
NPI age
7 years
↑ 6 yr above median (1 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-07Enumerated in NPPES
2018
2026
Where they practice
Practice location
1169 Call Creek Dr
Pocatello, ID 832013077
Mailing address
1169 Call Creek Dr
Pocatello, ID 832013077
Specialties
-
Student in an Organized Health Care Education/Training Program PrimaryAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 16 new student in an organized health care education/training program providers have been added in Pocatello in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.