MEDICARE: OMEGA MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP599A	ID

General Provider Information

NPI Number	:	1164427159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OMEGA MENTAL HEALTH

Provider Business Mailing Address
First Line	:	8200 STEWART RD
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642
Country	:	US
Telephone Number	:	208-888-2319
Fax Number	:	208-288-2512

Provider Business Practice Location Address
First Line	:	5985 W. STATE ST.
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703
Country	:	US
Telephone Number	:	208-853-0071
Fax Number	:	208-853-9422

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTINA HARRINGTON
Credential	:	M.D.
Telephone Number	:	208-853-0071

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1720660376 — TAYLOR LEE HARRIS
Practice Location Address:

4232 N WATERFORD PL
BOISE, ID
83703-3490

Practice Phone: 312-965-2997
Practice Fax:

1740143916 — ERYKA PESKIN
Practice Location Address:

2319 N 28TH ST
BOISE, ID
83703-5609

Practice Phone: 917-822-8953
Practice Fax:

1548258148 — MRS. KAREN J CANFIELD LCPC
Practice Location Address:

4720 COLLISTER DR
BOISE, ID
83703-3721

Practice Phone: 208-336-5720
Practice Fax:

1225027253 — MR. TIMOTHY P HODGES DO. FAMILY PRACTICE
Practice Location Address:

6052 W STATE ST
BOISE, ID
83703-2739

Practice Phone: 208-955-6500
Practice Fax: 208-955-6501

1386635977 — NATHAN JOHN CHURCH PA-C
Practice Location Address:

6052 W STATE ST
BOISE, ID
83703-2739

Practice Phone: 208-344-7799
Practice Fax: 208-344-7152

1366494650 — CHRISTINE M. HALL P.A.-C
Practice Location Address:

6052 W STATE ST
BOISE, ID
83703-2739

Practice Phone: 208-344-7799
Practice Fax: 208-344-7152

Directions to “OMEGA MENTAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.