Individual provider Active NPI

Dino Joseph Giolitti, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewiston, ID
National Provider Identifier
1346530557
Registry record updated Apr 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP-1399A Issued in ID
Practice address
523 1/2 Main St # 7
Lewiston, ID 83501-1870
Phone
(208) 413-9973
Fax
(208) 413-9976
NPI assigned
Apr 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1399A ID
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X NP-1399A ID Primary

Addresses

Primary practice location

523 1/2 Main St # 7
Lewiston, ID 83501-1870

Mailing address

928 Grelle Ave
Lewiston, ID 83501-5202
Phone (916) 532-7306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20191107003224 WA Practitioner - Nurse Practitioner 6002052354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spokane Behavioral Health LLCGroup PAC ID 2961757489, 24 clinicians
Stevens CountyGroup PAC ID 2466349394, 12 clinicians

Practice addresses (Care Compare)

104 W 5TH Ave
Spokane, WA 99204-4820
Phone (623) 670-0840

165 E Hawthorne Ave
Colville, WA 99114-2629
Phone (509) 684-4597

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens County Single Specialty CurrentSince Nov 5, 2020 Accepting new patients
Stevens County CurrentSince Nov 5, 2020 Accepting new patients
Spokane Behavioral Health LLC Single Specialty CurrentSince Aug 12, 2019 Accepting new patients
Stevens County Past Accepting new patients
Bohnenkamp Behavioral Health LLC Single Specialty PastSince Apr 1, 2019 Accepting new patients

Locations

301 E Clay Ave
Ste 201
Chewelah, WA 99109
Phone (509) 684-4597

165 E Hawthorne Ave
Colville, WA 99114
Phone (509) 684-4597

104 W 5th Ave
Spokane, WA 99204
Phone (509) 992-1888

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554595200000",
    "number": "1346530557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 GRELLE AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015202",
            "telephone_number": "916-532-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 1/2 MAIN ST # 7",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011870",
            "telephone_number": "208-413-9973",
            "fax_number": "208-413-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOLITTI",
        "first_name": "DINO",
        "middle_name": "JOSEPH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-10",
        "last_updated": "2019-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1399A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-1399A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.