Individual provider Active NPI

Katherine Wingate Quayle

  • Psychiatry Physician
  • Hailey, ID
National Provider Identifier
1386987055
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M-14263 Issued in ID
Practice address
1450 Aviation Dr Ste 202
Hailey, ID 83333-8785
Phone
(208) 727-8970
Fax
(208) 727-8979
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 57.252141 OH
Psychiatry Physician 2084P0800X M-14263 ID Primary
Pediatrics Physician 208000000X 9148249-1205 UT

Addresses

Primary practice location

1450 Aviation Dr Ste 202
Hailey, ID 83333-8785

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

3723 W 12600 S Ste 330
Riverton, UT 84065-7296
Phone (801) 285-4543

Other practice location 2

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (844) 632-6631

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katherine.quayle@direct.imail.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250906000763 ID Practitioner - Psychiatry 1557581709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

190 E Bannock St
Boise, ID 83712-6241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Wood River Medical Center LTD PastSince Aug 21, 2025 Accepting new patients
Ihc Health Services Inc Single Specialty PastSince Jul 10, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kquayle83091@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1386987055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 AVIATION DR STE 202",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338785",
            "telephone_number": "208-727-8970",
            "fax_number": "208-727-8979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3723 W 12600 S Ste 330",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "UT",
            "postal_code": "840657296",
            "country_code": "US",
            "telephone_number": "801-285-4543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "844-632-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAYLE",
        "first_name": "KATHERINE",
        "middle_name": "WINGATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "57.252141",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-14263",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "9148249-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.quayle@direct.imail.org",
            "affiliation": "N",
            "address_1": "3723 W 12600 S Ste 330",
            "city": "Riverton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840657296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hailey, ID

Sources for this page

Verify at the official NPI Registry.