Clint Emmett, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

61523 Issued in ID

Practice address

875 Perimeter Dr # Ms 3140
Moscow, ID 83844-2006

Phone

(208) 885-6716

Fax

(208) 885-4354

NPI assigned

Oct 6, 2014

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Better Psych, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Moscow, ID
  • NPI 1336730712
  NPD Authorized official
• Northern Human Services

  • Community/Behavioral Health Agency
  • Littleton, NH
  • NPI 1023463965
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1467855403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E E ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432713",
            "telephone_number": "603-915-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 PERIMETER DR # MS 3140",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838442006",
            "telephone_number": "208-885-6716",
            "fax_number": "208-885-4354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Washington St Ste 8",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838432802",
            "country_code": "US",
            "telephone_number": "603-915-6135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMETT",
        "first_name": "CLINT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "07060823",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "61523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID APRN LICENSE",
            "identifier": "61523",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH APRN LICENSE",
            "identifier": "07060823",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Irma Egland, LPC
• Jadelyn Taylor Eisele
• Elements of Wellness Aquatic and Manual Therapy Inc.
• Robert L Ellison, CRNA
• Nancy Jo Elsbury, M.D.
• Rachel Ensley, PA-C
• Inga Erickson, MS, LAT, ATC
• Jaimie Erickson
• Marie Eriksson, P.T.
• Anita Evans

• Psychiatric/Mental Health Nurse Practitioner in Moscow, ID
• Providers in Moscow, 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 Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.