Kathryn Still, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP787 Issued in ID

Practice address

802 W Bannock St
Suite 405
Boise, ID 83702-5837

Phone

(208) 336-7341

Fax

(208) 336-7342

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144365362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W BANNOCK ST",
            "address_2": "SUITE 405",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025837",
            "telephone_number": "208-336-7341",
            "fax_number": "208-336-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W BANNOCK ST",
            "address_2": "SUITE 405",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025837",
            "telephone_number": "208-336-7341",
            "fax_number": "208-336-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILL",
        "first_name": "KATHRYN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010157784",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NPXZ0",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Renee Stich-Hennen, AU.D., F-AAA
• Holland Noel Stidham, LPC
• Derek Louis Stiegemeier, PHYSICAL THERAPIST
• Rose M Stiles Johnson
• Emma Stiles St Clair
• Richard A Stillinger, M.D.
• Stilson Dental Partnership PLLC
• Alexys Stimpson, LMSW
• Thomas Aaron Stinson, CMT
• Brandon Stirling, PA-C

• 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 Jul 8, 2007; 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.