Active NPI
Patrick Ross King, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Idaho Falls, ID
National Provider Identifier
1255264164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2481712
- Practice address
- 3950 E Marble Dr
Idaho Falls, ID 83401-6465 - Phone
- (630) 577-7055
- NPI assigned
- Jun 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2481712 | ID | Primary |
Addresses
Primary practice location
3950 E Marble Dr
Idaho Falls, ID 83401-6465
Mailing address
3950 E Marble Dr
Idaho Falls, ID 83401-6465
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1255264164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 E MARBLE DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834016465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 E MARBLE DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834016465",
"telephone_number": "630-577-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "PATRICK",
"middle_name": "ROSS",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ID",
"license": "2481712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.