McHale Chriswell

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

54386 Issued in ID

Practice address

415 North 3Rd Ave, Ste B
Pocatello, ID 83201

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nobility Behavioral Health LLC

  dba Nobility Better Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Pocatello, ID
  • NPI 1720722549

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1669195061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 3RD AVE STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016306",
            "telephone_number": "208-646-4165",
            "fax_number": "208-646-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NORTH 3RD AVE, STE B",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 N 3rd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016306",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N 3rd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016306",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N 3rd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016306",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N 3rd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016306",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N 3rd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016306",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N 3rd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016306",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N 3rd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016306",
            "country_code": "US",
            "telephone_number": "208-646-4165",
            "fax_number": "208-646-4195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISWELL",
        "first_name": "MCHALE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "ID",
            "license": "54386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "54386",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54386",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wallace Lloyd Christensen, OD
• Channing Christiansen, DPT
• Melissa Christoffersen
• Venetta Jean Christopherson, PHARMD, CGP
• Christy Kelshaw
• Kimberly Cibrian, LMSW
• City Creek Counseling, LLC
• Clair Enterprises Inc
• Clark Family Medicine
• Brandon Clark

• General Practice Registered Nurse in Pocatello, ID
• Providers in Pocatello, ID by specialty
• General Practice Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.