Carey Dawn Crill, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP-391A Issued in ID

Practice address

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

Phone

(208) 283-7314

Fax

(208) 322-5379

NPI assigned

Oct 24, 2007

Last updated

Dec 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2002

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Integrity Psychiatric Services, LLC

  dba Integrity Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
  • NPI 1922582501
  Medicare reassignment Care Compare group Authorized official
• Zora Neurospa, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
  • NPI 1457029639
  NPD Authorized official
• Mountain View Behavioral Health, PLLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1124390406
  NPD (past)

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1457530693",
    "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": "208-322-5379"
        },
        {
            "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": "208-322-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRILL",
        "first_name": "CAREY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-391A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crescent Creek Therapy, LLC
• Creswell Counseling Center LLC
• Judith Anne Crews, LCPC PMFT
• Charlene A Crichton, MD
• Rolf O Crichton, DDS
• Kristin Cripps, LMSW
• Matthew R Crispo, CRNA
• John D Crites, MD
• Jessica Rose Crocker-Oswald, LCSW
• Erica Crockett, LPC, NCC

• Psychiatric/Mental Health Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.