Individual provider Active NPI

Jocelyn Dee Patchett, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kuna, ID
National Provider Identifier
1942840772
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
63262 Issued in ID
Practice address
13400 S Pleasant Valley Rd
Kuna, ID 83634-2716
Phone
(208) 338-1635
Fax
(208) 388-1778
NPI assigned
Jan 9, 2020
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 63262 ID Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TEMP63262 ID

Addresses

Primary practice location

13400 S Pleasant Valley Rd
Kuna, ID 83634-2716

Mailing address

PO Box 381
Caldwell, ID 83606-0381
Phone (208) 250-3929

Other practice location 1

219 N 12th Ave
Caldwell, ID 83605-3555
Phone (208) 454-7541

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jocelynpatchett@corizonhealth.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
63262IDMDPsychiatric/Mental Health Nurse Practitioner
TEMP63262IDMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1942840772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836060381",
            "telephone_number": "208-250-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 S PLEASANT VALLEY RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836342716",
            "telephone_number": "208-338-1635",
            "fax_number": "208-388-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 N 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836053555",
            "country_code": "US",
            "telephone_number": "208-454-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATCHETT",
        "first_name": "JOCELYN",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "63262",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "TEMP63262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jocelynpatchett@corizonhealth.com",
            "affiliation": "N",
            "endpointDescription": "Corizon email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "HIE",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13400 S Pleasant Valley Rd",
            "city": "Kuna",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836342716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.