Rene Robert Alamo, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Nampa, ID
NPI 1558083402 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1558083402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 78341 (ID)
- Practice address
- 11048 W Victoria Dr
Nampa, ID 83686-6755 - Phone
- (208) 546-9264
- Fax
- (208) 203-7006
- NPI assigned
- Sep 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Healthcare With Heart LLC
Practice addresses (Care Compare)
823 Ctr Ave
Payette, ID 83661-2535
Phone (208) 642-3396
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241211003646 | ID | Practitioner - Nurse Practitioner | 9436685641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78341 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare With Heart LLC | Current |
Accepting new patients | |
| Perma Mental Health PLLC | Past |
Accepting new patients |
Locations
823 Center Ave
Payette, ID 83661
Phone (208) 642-1333
Interoperability endpoints
- rene.alamo.1@8016.direct.athenahealth.com
- https://api.platform.athenahealth.com/8016/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 78341 | ID | Yes |
Addresses
Primary practice location
11048 W Victoria Dr
Nampa, ID 83686-6755
Mailing address
11048 W Victoria Dr
Nampa, ID 83686-6755
Phone (208) 546-9264
Other providers in Nampa, ID
- Angelica I Aguirre
- Teri L. Ahrens
- Michaela Ainsley
- Ashley Akina
- Tanna Marie Akridge
- Jack Alban
- Suzanne Albert
- Albertsons LLC
- Albertsons LLC
- Amy Albinson
All providers in Nampa, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.