CMS NPPES uses NUCC taxonomy code 363LP0808X for provider records classified as Psychiatric/Mental Health within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services...
WA license #AP60454197taxonomy 363LP0808X
Nurse Practitioner
CMS NPPES uses NUCC taxonomy code 363LF0000X for provider records classified as Family within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
ID license #NP-1307AWA license #AP60454197taxonomy 363LF0000X
Identifiers
Type
Value
Notes
05 (WA)
2032544
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Nurse Practitioner
Largest Medicare group
6 members
Largest listed enrollment group
Facility affiliations reported by CMS
Hospitalist Medicine Physicians Of Idaho- Nampa Pllc
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new psychiatric/mental health (nurse practitioner) provider has been added in Lewiston in the last 180 days.
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