Katie Lynn Harp, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Boise, ID
NPI 1316612062 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1316612062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 54867 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1000 N Curtis Rd
Suite 202
Boise, ID 83706-1346
Phone (208) 283-7314
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211005000862 | ID | Practitioner - Nurse Practitioner | 6507264660 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54867 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 54867 | ID | Yes |
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
Other providers in Boise, ID
- Sariah Harmon
- Harmony Mental Health
- Rachel N Harms
- Hillary Elia Haro
- Jessica Leigh Harp
- Anna Marie Elizabeth Harper
- Nick E Harper
- Bryan David Harr
- Melissa Ann Harr
- Susan Patricia Harrell
All providers in Boise, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.