Organization Active NPI

Mindful Healing Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1023834926
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL HEALING PSYCHIATRY
Practice address
3006 E Goldstone Dr
Meridian, ID 83642-1549
Phone
(208) 391-5046
NPI assigned
Nov 25, 2024
Last updated
Mar 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Authorized official

Name
Carolyn Ann Nugent, APRNNPI 1619707593
Title
Provider
Phone
(360) 888-0449

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

3006 E Goldstone Dr
Meridian, ID 83642-1549

Mailing address

16520 Mulberry LN
Nampa, ID 83687-8492
Phone (360) 888-0449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260327003250 ID Part B Supplier - Clinic/Group Practice 1254816218 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID

National Provider Directory

National Provider Directory

Locations

2176 E Franklin Rd
Meridian, ID 83642
Phone (208) 830-4036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774137600000",
    "number": "1023834926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 MULBERRY LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878492",
            "telephone_number": "360-888-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421549",
            "telephone_number": "208-391-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "360-888-0449",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.