Active NPI
Mountain View Health PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Lewiston, ID
National Provider Identifier
1568087005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MOUNTAIN VIEW HEALTH PLLC
- Practice address
- 609 Bryden Ave Ste B
Lewiston, ID 83501-5193 - Phone
- (208) 816-8746
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Funke, ARNP
- Title
- Owner/Arnp
- Phone
- (208) 816-8746
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
609 Bryden Ave Ste B
Lewiston, ID 83501-5193
Mailing address
609 Bryden Ave Ste B
Lewiston, ID 83501-5193
Phone (208) 816-8746
National Provider Directory
National Provider DirectoryLocations
609 Bryden Ave
Ste B
Lewiston, ID 83501
Phone (208) 413-6570
Interoperability endpoints
- https://api.platform.athenahealth.com/21115/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lewiston, ID
- NPI 1285091306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1568087005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 BRYDEN AVE STE B",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835015193",
"telephone_number": "208-816-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 BRYDEN AVE STE B",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835015193",
"telephone_number": "208-816-8746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "FUNKE",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER/ARNP",
"authorized_official_telephone_number": "208-816-8746",
"authorized_official_credential": "ARNP"
},
"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 Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.