Project Patch

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

PROJECT PATCH

Practice address

116 Brush Creek Rd
Garden Valley, ID 83622-1011

Phone

(208) 739-8991

NPI assigned

Nov 14, 2025

Organization subpart

No

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

Authorized official

Name

Jill White

Title

Intern

Phone

(208) 739-8991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1487514113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BRUSH CREEK RD",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836221011",
            "telephone_number": "208-739-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BRUSH CREEK RD",
            "city": "GARDEN VALLEY",
            "state": "ID",
            "postal_code": "836221011",
            "telephone_number": "208-739-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT PATCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "208-739-8991"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meador Family Therapy LLC
• Jared Harris Moser, PA-C
• Trina R Omorefe, LMSW
• Jessica Maxfield Perry, LMSW
• Project Patch
• Bradley Ross Raburn, LCPC - IDAHO
• Elizabeth Ann Redding
• Peter Michael Riz, PA-C
• Stephanie Ross
• Stanley Stephen Sanders II, LMSW

• Student in an Organized Health Care Education/Training Program in Garden Valley, ID
• Providers in Garden Valley, ID by specialty
• Student in an Organized Health Care Education/Training Program in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.