Rebekah G Fayette, CNM, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

54388 Issued in ID

Practice address

4477 W Emerald St Ste C200
Boise, ID 83706-2074

Phone

(208) 780-9295

Fax

(855) 490-9559

NPI assigned

Jun 3, 2015

Last updated

Aug 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Rebekah Tyle Former name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rfayette84916@direct.trinity-health.org

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.

• 5 Peppers Inc.

  dba DBA Acacia Wellness Center

  • Family Medicine Physician
  • Nampa, ID
  • NPI 1669612271

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Saint Alphonsus Regional Medical Center Inc

  • Psychologist
  • Boise, ID
  • NPI 1649357716
  Medicare reassignment NPD
• Summit Psychiatry and Family Wellness

  • Family Medicine Physician
  • Nampa, ID
  • NPI 1437986254
  Medicare reassignment NPD
• Illumination Women's Health PLLC

  • Women's Health Nurse Practitioner
  • Boise, ID
  • NPI 1447032594

  Psychiatric/Mental Health

  NPD
• Saint Alphonsus Regional Medical Center Inc

  • Psychiatric Hospital Unit
  • Boise, ID
  • NPI 1770687857
  NPD
• Saint Alphonsus Regional Medical Center Inc

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1992736649
  NPD

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1043690175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10280 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045270",
            "telephone_number": "208-780-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W EMERALD ST STE C200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062074",
            "telephone_number": "208-780-9295",
            "fax_number": "855-490-9559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-367-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAYETTE",
        "first_name": "REBEKAH",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "CNM, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "54388",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "54388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "TYLE",
            "credential": "CNM, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nathan Fauntleroy, LMSW
• William Ernest Faure, OD
• Sarah Maria Fauth, LMSW
• Landon Mitchel Favero
• Roycie Faye
• Sarah Shanti Fazel
• Katherine Fazio, LCSW
• Fazzio Clinic PC
• Frank J Fazzio Jr., M.D.
• Monika Gerda Fealko, MD

• Psychiatric/Mental Health Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.

Verify at the official NPI Registry.