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MEDICARE & FAMILY PRACTICE
NPI 1336415769
Nurse Practitioner - Family in Idaho Falls, ID

Active since March 29, 2012
3652 WASHINGTON PKWY, IDAHO FALLS, ID 83404(208) 419-0593(208) 524-1222 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medicare & Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICARE & FAMILY PRACTICE (NPI 1336415769) is a healthcare organization registered as a family in Idaho Falls, Idaho and active in the NPI registry since March 2012. The organization lists Brandy Flegel, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1336415769
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameORANGE LLC.
Location Address3652 WASHINGTON PKWYIdaho Falls, ID 83404
Mailing Address3652 Washington PkwyIdaho Falls, ID 83404 · (208) 419-0593 · Fax (208) 524-1222
Phone(208) 419-0593
Fax(208) 524-1222
Organization SubpartNo
Authorized OfficialBrandy FlegelChief Operating Officer · (208) 419-0593
Enumeration DateMarch 29, 2012
Last NPPES UpdateApril 28, 2017
✔ NPI 1336415769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ID · NP1660A✔ Licensed in ID · NP-1660A
Also ListedFamily MedicineTaxonomy 207Q00000X · License M-10400 (ID)
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License M-10400 (ID), NP1660A (ID)
3652 WASHINGTON PKWY, Idaho Falls, ID 83404
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Other Names 1

Doing Business AsMedicare & Family Practice

Other Identifiers 1

Medicare UPIN20000653ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORANGE, LLC
Nurse Practitioner (Family)
3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 419-0593
JAXSON LANDON DC
Chiropractor
3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 569-7590
DR. JASON VAN SICKLE D.C.
Chiropractor
3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 541-0413
DR. TIMOTHY ROGER BLACK DPM
Podiatrist
3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 528-8700
CARMEN HERNANDEZ RADFORD
Public Health or Welfare
3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 419-0593
CARMEN RADFORD LNP
Nurse Practitioner
3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 419-0593
ASCEND CHIROPRACTIC PLLC
Chiropractor
3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 781-1334
MOUNTAIN CREST FOOT AND ANKLE PA
Podiatrist
3652 WASHINGTON PKWY
IDAHO FALLS, ID 83404
Bonneville County (208) 528-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orange LLC.'s NPI number?

The NPI number for Orange LLC. is 1336415769. It was assigned to this organization in the NPPES registry on March 29, 2012. The provider is doing business as Medicare & Family Practice.

Where is Orange LLC. located?

Orange LLC. is located at 3652 Washington Pkwy, Idaho Falls, ID 83404. The listed phone number is (208) 419-0593.

What is Orange LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Orange LLC. was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.