NPI age
10 years
Enumerated 2015-12-01
● Active Type 2 · Organization
Carmen Hernandez Radford
Carmen Hernandez Radford is 1 of 28 public health or welfare organizations in Idaho.
Primary specialty
Public Health or Welfare
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Radford
Fnp
Last NPPES update
2015-12-01
Source: monthly bulk 2026-05
How this organization compares
Across 28 active public health or welfare providers in Idaho.
NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-12Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
3652 Washington Pkwy
Idaho Falls, ID 834047573
Mailing address
5451 Thatcher Ave
Idaho Falls, ID 834044935
Authorized official
Carmen Hernandez Radford
Fnp
📞 2087571854
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Timothy Black, DPM Podiatrist NPI 1578753091
- Jaxson Landon, DC Chiropractor NPI 1356064141
- Carmen Radford, LNP Nurse Practitioner NPI 1710352349
- Jason Van Sickle, D.C. Chiropractor NPI 1386981900
Specialties
-
Public Health or Welfare PrimaryDefinition to come...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.