Organization Active NPI

Deneve Mental Health Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1487367124
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DENEVE MENTAL HEALTH CLINIC
Practice address
1970 E 17TH St Ste 111B
Idaho Falls, ID 83404-8046
Phone
(208) 541-5257
NPI assigned
Dec 27, 2022
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Denise Loraine Barnes, FNP-C, PMHNP-C
Title
Nurse Practitioner
Phone
(208) 716-6445

National Provider Directory

National Provider Directory

Locations

1970 E 17th St
Ste 111B
Idaho Falls, ID 83404
Phone (208) 541-5257

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

NPPES NPI Registry

Primary practice location

1970 E 17TH St Ste 111B
Idaho Falls, ID 83404-8046

Mailing address

4710 Cumberland Dr
Idaho Falls, ID 83404-8414
Phone (208) 541-5257

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2023.

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1487367124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 CUMBERLAND DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048414",
            "telephone_number": "208-541-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E 17TH ST STE 111B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048046",
            "telephone_number": "208-541-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENEVE MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LORAINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "208-716-6445",
        "authorized_official_credential": "FNP-C, PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.