CLINT EMMETT APRN NPI 1467855403

NPI Information

NPI: 1467855403
Provider Name: CLINT EMMETT, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
875 PERIMETER DR # MS 3140
MOSCOW, ID
ZIP 83844
Phone: (208) 885-6716
Get Directions

Clint Emmett, APRN is a psychiatric/mental health nurse practitioner in Moscow, ID. Clint Emmett, APRN NPI is 1467855403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

875 PERIMETER DR # MS 3140
MOSCOW, ID
ZIP 83844-006
Phone: (208) 885-6716
Fax: (208) 885-4354

The NPI 1467855403 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2014 and was last updated on 3/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	61523	IDAHO	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	07060823	NEW HAMPSHIRE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07060823	OTHER	NEW HAMPSHIRE	NH APRN LICENSE
2	61523	OTHER	IDAHO	ID APRN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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