Individual provider Active NPI

Betsy Dale Poot Poot, ARNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hayden, ID
National Provider Identifier
1013912385
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
74514 Issued in ID
Practice address
1286 W Leisure Dr
Hayden, ID 83835-8834
Phone
(360) 421-2520
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30006966 WA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 74514 ID Primary

Addresses

Primary practice location

1286 W Leisure Dr
Hayden, ID 83835-8834

Mailing address

1286 W Leisure Dr
Hayden, ID 83835-8834
Phone (360) 421-2520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address betsy@pootcounseling.com Direct Poot Counseling, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
74514IDMDPsychiatric/Mental Health Nurse Practitioner
AP30006966WAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1013912385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 W LEISURE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358834",
            "telephone_number": "360-421-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 W LEISURE DR",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358834",
            "telephone_number": "360-421-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOT",
        "first_name": "BETSY",
        "middle_name": "DALE POOT",
        "name_prefix": "Mrs.",
        "credential": "ARNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30006966",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "74514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "betsy@pootcounseling.com",
            "affiliation": "Y",
            "affiliationName": "Poot Counseling, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1286 W Leisure Dr",
            "city": "Hayden",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838358834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.