Organization Active NPI

Mountain View Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewiston, ID
National Provider Identifier
1568087005
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Julie Funke, ARNPNPI 1285091306
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

609 Bryden Ave
Ste B
Lewiston, ID 83501
Phone (208) 413-6570

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.