DUMU PSYCHIATRY LLC


Address: 9428 W Fairview Ave, Boise, ID 83704-8101
Phone: 2083762485

DUMU PSYCHIATRY LLC (NPI# 1790302594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790302594
Entity Type Organization
Organization Name DUMU PSYCHIATRY LLC
Practice Address 9428 W Fairview Ave
Boise
ID 83704-8101
Practice Telephone 2083762485
Practice Fax Number 2083762908
Enumeration Date 2020-06-29
Last Update Date 2020-06-29
Authorized Official Name DUKE NYARECHA (OWNER)
Authorized Official Telephone 2083762485
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID NPI 1235625914 01

Office Location

Street Address 9428 W FAIRVIEW AVE
City BOISE
State ID
Zip Code 83704-8101

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1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
1588164727 Cory Michael Sims Counselor 6550 W. Emerald St #112, Boise, ID 83704 2018-02-14
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104309657 Brigitta Panther Nurse Practitioner 418 W Reese St, Boise, ID 83706-6233 2018-09-11
1336413459 Cheryl Suhr Nurse Practitioner 10840 W Wasdale Dr, Boise, ID 83709-7170 2012-03-07
1679898225 Shawna L Kuehne Nurse Practitioner 1902 Judith Ln Ste 110, Boise, ID 83705-5235 2010-04-06
1841529310 Carolyn Corbett Nurse Practitioner 7280 W Ustick Rd, Suite 101, Boise, ID 83704-5014 2009-12-13
1306089271 Mark A Jepson Nurse Practitioner 1919 W State St, Boise, ID 83702-3958 2009-04-08
1548300924 Gia Swope Nurse Practitioner 13967 W Wainwright Dr, Suite 103, Boise, ID 83713-2094 2007-02-07
1043392756 Satu H. Woodland Nurse Practitioner 3152 S. Bown Way # 102, Boise, ID 83706 2006-10-20
1295735801 Karen Lenore Schumacher Nurse Practitioner 2308 N Cole Rd, Ste A, Boise, ID 83704-7361 2005-07-26
1710593363 Laura Lyn Allen Nurse Practitioner 3152 S Bown Way Ste 102, Boise, ID 83706-5456 2020-09-18
1306496880 Treasure Valley Psychiatry and Mental Health Pllc Nurse Practitioner 5440 W Franklin Rd, Boise, ID 83705-1079 2019-09-16
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Competitor

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City BOISE
Zip Code 83704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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