Individual provider Active NPI

Spring Neihart

  • Psychiatric/Mental Health Nurse Practitioner
  • Pocatello, ID
National Provider Identifier
1548999857
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
33310 Issued in ID
Practice address
921 S 8TH Ave
Pocatello, ID 83201-5377
Phone
(208) 282-2864
NPI assigned
Jun 10, 2022
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 33310 ID Primary

Addresses

Primary practice location

921 S 8TH Ave
Pocatello, ID 83201-5377

Mailing address

118 N 35 W
Blackfoot, ID 83221-5996

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230323002988 ID Practitioner - Nurse Practitioner 5799159273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Mental Health SpecialistsGroup PAC ID 1658665427, 11 clinicians

Practice addresses (Care Compare)

210 W Burnside Ave
Suite a
Pocatello, ID 83202-4916
Phone (208) 238-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33310IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Health Services, LLC CurrentSince Nov 1, 2023 Accepting new patients
Pocatello Health Services, LLC CurrentSince Nov 1, 2023 Accepting new patients
Mental Health Specialists Psychiatric/Mental Health CurrentSince Dec 3, 2022 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients

Locations

210 W Burnside Ave
Ste A
Pocatello, ID 83202
Phone (208) 238-9000

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

777 Hospital Way
Ste 11
Pocatello, ID 83201

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

Interoperability endpoints

  • Direct secure messaging: nspring258758@ahs.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1548999857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N 35 W",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S 8TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015377",
            "telephone_number": "208-282-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIHART",
        "first_name": "SPRING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "33310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.