Amy Belnap, PMHNP

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

23621 Issued in ID

Practice address

4650 Hawthorne Rd Ste 3B
Chubbuck, ID 83202-2376

Phone

(208) 252-5621

Fax

(208) 648-4167

NPI assigned

May 16, 2017

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

Medicare fee-for-service enrollment

Enrolled in ID, UT2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Canvi Behavioral Health PLLCGroup PAC ID 0941692073, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Canvi Behavioral Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chubbuck, ID
  • NPI 1144984873

  ID, Single Specialty, UT

  Medicare reassignment Care Compare group NPD
• New Horizons Mental Wellness Clinics

  • Adult Mental Health Clinic/Center
  • Pocatello, ID
  • NPI 1750621116

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1699202044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2516",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832062516",
            "telephone_number": "082-252-5621",
            "fax_number": "208-648-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HAWTHORNE RD STE 3B",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022376",
            "telephone_number": "208-252-5621",
            "fax_number": "208-648-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "476 Heritage Park Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415636",
            "country_code": "US",
            "telephone_number": "801-896-8345",
            "fax_number": "801-896-5334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 Stocks Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834403508",
            "country_code": "US",
            "telephone_number": "208-745-2580",
            "fax_number": "208-648-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELNAP",
        "first_name": "AMY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "ID",
            "license": "23621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Batty, D.O.
• Brian Andrew Beach, FNP-C
• Samuel Welling Beckstead, DO
• Belmont Management, Inc.
• Teresa K Belnap-Hazen, LCSW
• Brady Mead Belnap
• Nancy Bentley, LCPC
• Kirsten Hansen Blair, RPH
• Kayla Judy Bohman, OT
• Amy Bower, PARAPROFESSIONAL

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.