BRANDI JO SMITH APRN-CNP NPI 1114447406

NPI Information

  • NPI: 1114447406
  • Provider Name: BRANDI JO SMITH, APRN-CNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2860 CHANNING WAY
    SUITE 115
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 529-7283

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NPI Details

Brandi Jo Smith, APRN-CNP is a family nurse practitioner in Idaho Falls, ID. Brandi Jo Smith, APRN-CNP NPI is 1114447406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2860 CHANNING WAY
SUITE 115
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 529-7283

The NPI 1114447406 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily56069IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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