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...
ID license #NP-1607Ataxonomy 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-1607Ataxonomy 363LF0000X
Identifiers
Type
Value
Notes
05 (ID)
1003282708
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
Telehealth
Listed by CMS
Confirm current availability with the practice
Largest Medicare group
7 members
Largest listed enrollment group
Facility affiliations reported by CMS
Cpf Idaho Behavioral Health Llc
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. 15 other active providers share this practice address in NPPES.
Recently enumerated nearby: 7 new psychiatric/mental health (nurse practitioner) providers have been added in Boise in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 406 Psychiatric/Mental Health (Nurse Practitioner) providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.