Ellen Dutcher, FNP

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

NP395A Issued in ID

Practice address

4726 Center LN
Fruitland, ID 83619-3789

Phone

(208) 741-1318

NPI assigned

Oct 26, 2009

Last updated

Oct 26, 2009By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20689/brand/1/csg/1/fhir/r4

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.

• Access Behavioral Health Services

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1487700589
  Medicare reassignment NPD
• Access Behavioral Health Services, Inc

  • Primary Care Clinic/Center
  • Boise, ID
  • NPI 1932506508
  NPD
• Southwest District Health

  • Public Health or Welfare Agency
  • Caldwell, ID
  • NPI 1598748337
  NPD (past)
• State of Idaho

  • Low Vision Rehabilitation Optometrist
  • Boise, ID
  • NPI 1801833454
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1861728933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 CENTER LN",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836193789",
            "telephone_number": "208-741-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 CENTER LN",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836193789",
            "telephone_number": "208-741-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTCHER",
        "first_name": "ELLEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "ID",
            "license": "NP395A",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP395A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle F Devoe, D.O.
• Dominican Health Services
• Misty Dove
• Todd Michael Dunaway, DO
• Michael Allen Duncan, DC
• Luann Dunn Dyer, LCPC
• Andrew Echanis, LMSW
• Edgewood Fruitland Senior Living LLC
• Lindsey Edmunds, O.D.
• Isaac L Elam, MD

• Psychiatric/Mental Health Clinical Nurse Specialist in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.