Active NPI
Mary Jane Hulsey, FPMH-NP
- Psychiatric/Mental Health Nurse Practitioner
- Twin Falls, ID
National Provider Identifier
1467755769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 22215A
- Practice address
- 823 Harrison St
Twin Falls, ID 83301-3925 - Phone
- (208) 736-2177
- Fax
- (208) 736-2113
- NPI assigned
- Dec 8, 2010
- Last updated
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 22215A | ID | Primary |
Addresses
Primary practice location
823 Harrison St
Twin Falls, ID 83301-3925
Mailing address
823 Harrison St
Twin Falls, ID 83301-3925
Phone (208) 736-2177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22215A | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burke Center | Past | Accepting new patients | |
| G Adrian Dean MD Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Twin Falls, ID
- NPI 1386737989
-
- Developmental Disabilities Clinic/Center
- Lufkin, TX
- NPI 1164572772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1467755769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 HARRISON ST",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013925",
"telephone_number": "208-736-2177",
"fax_number": "208-736-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 HARRISON ST",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013925",
"telephone_number": "208-736-2177",
"fax_number": "208-736-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSEY",
"first_name": "MARY",
"middle_name": "JANE",
"credential": "FPMH-NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ID",
"license": "22215A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.