Active NPI
Satu H. Woodland, PMHCNS-BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Boise, ID
National Provider Identifier
1043392756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- CNS-68-A
- Practice address
- 3152 S. Bown Way # 102
Boise, ID 83706 - Phone
- (208) 371-8040
- Fax
- (866) 371-6410
- NPI assigned
- Oct 20, 2006
- Last updated
- Dec 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200450045NP | OR | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | CNS-68-A | ID | Primary |
Addresses
Primary practice location
3152 S. Bown Way # 102
Boise, ID 83706
Mailing address
3060 S. Rookery Lane
Boise, ID 83706
Phone (541) 306-4191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200450045NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| CNS-68-A | ID | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Solutions LLC | Current | Accepting new patients |
Locations
3152 S Bown Way
Ste 102
Boise, ID 83706
Phone (208) 371-8040
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boise, ID
- NPI 1215469440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1043392756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 S. ROOKERY LANE",
"city": "BOISE",
"state": "ID",
"postal_code": "83706",
"telephone_number": "541-306-4191",
"fax_number": "541-371-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3152 S. BOWN WAY # 102",
"city": "BOISE",
"state": "ID",
"postal_code": "83706",
"telephone_number": "208-371-8040",
"fax_number": "866-371-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODLAND",
"first_name": "SATU",
"middle_name": "H.",
"credential": "PMHCNS-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "200450045NP",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "ID",
"license": "CNS-68-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.