SACRED ROOTS FERTILITY CONSULTING, PLLC
NPI 1992655526
Nurse Practitioner - Women's Health in Meridian, ID

Active since February 02, 2026
176 E CALDERWOOD DR STE 125D, MERIDIAN, ID 83642(208) 402-8946(208) 248-6939 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sacred Roots Fertility Consulting, Pllc NPPES

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

SACRED ROOTS FERTILITY CONSULTING, PLLC (NPI 1992655526) is a healthcare organization registered as a women's health in Meridian, Idaho and active in the NPI registry since February 2026. The organization lists Brennan Nicole Carmody, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992655526
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameSACRED ROOTS FERTILITY CONSULTING, PLLC
Location Address176 E CALDERWOOD DR STE 125DMeridian, ID 83642-9095
Mailing Address2169 W Oakhampton DrEagle, ID 83616-7632 · (208) 402-8946 · Fax (208) 248-6939
Fax(208) 248-6939
Organization SubpartNo
Authorized OfficialBrennan Nicole CarmodyCeo · (208) 631-2121
Enumeration DateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
NPI 1992655526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
176 E CALDERWOOD DR STE 125D, Meridian, ID 83642

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Sacred Roots Fertility Consulting, PLLC's NPI number?

The NPI number for Sacred Roots Fertility Consulting, PLLC is 1992655526. It was assigned to this organization in the NPPES registry on February 2, 2026.

Where is Sacred Roots Fertility Consulting, PLLC located?

Sacred Roots Fertility Consulting, PLLC is located at 176 E Calderwood Dr Ste 125D, Meridian, ID 83642. The listed phone number is (208) 402-8946.

What is Sacred Roots Fertility Consulting, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Sacred Roots Fertility Consulting, PLLC was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.