Individual provider Active NPI

Katie Lynn Harp, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
National Provider Identifier
1316612062
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
54867 Issued in ID
Practice address
5440 W Franklin Rd Ste 108
Boise, ID 83705-6433
Phone
(208) 283-7314
Fax
(208) 550-3204
NPI assigned
Aug 14, 2021
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 54867 ID Primary

Addresses

Primary practice location

5440 W Franklin Rd Ste 108
Boise, ID 83705-6433

Mailing address

5440 W Franklin Rd Ste 108
Boise, ID 83705-6433
Phone (208) 283-7314

Other practice location 1

8675 W Ardene St
Boise, ID 83709-2601
Phone (208) 780-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005000862 ID Practitioner - Nurse Practitioner 6507264660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrity Psychiatric Services LLCGroup PAC ID 4082968599, 13 clinicians

Practice addresses (Care Compare)

1000 N Curtis Rd
Suite 202
Boise, ID 83706-1346
Phone (208) 283-7314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
54867IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imhealth LLC Psychiatric/Mental Health Current Accepting new patients

Locations

5440 W Franklin Rd
Ste 108
Boise, ID 83705

333 W Cedar St
Ste 3
Pocatello, ID 83201

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1316612062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 W FRANKLIN RD STE 108",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837056433",
            "telephone_number": "208-283-7314",
            "fax_number": "208-550-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W FRANKLIN RD STE 108",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837056433",
            "telephone_number": "208-283-7314",
            "fax_number": "208-550-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8675 W Ardene St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837092601",
            "country_code": "US",
            "telephone_number": "208-780-3900",
            "fax_number": "208-375-2882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARP",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "54867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.