NPI age
19 years
Enumerated 2006-12-01
● Active
Type 1 · Individual
MRS. Beverley Ann Blake Odoherty, CFNP
Blake Odoherty is 1 of 87 nurse practitioner providers in Twin Falls and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
801 Pole Line Rd W
Twin Falls, ID 833015810
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
1 secondary location on file with NPPES.
Location 2
777 Hospital Way
Pocatello, ID 832015175
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | 16301862 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 194 other active providers share this practice address in NPPES.
Recently enumerated nearby: 4 new nurse practitioner providers have been added in Twin Falls in the last 180 days.
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Request a quote →How to verify this provider
- 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.