MEDICARE: JOSEPH RULE HOUCHINS PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	403624	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1191608	TX
3	163W00000X	Registered Nurse	781695	NY

General Provider Information

NPI Number	:	1619512415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH RULE HOUCHINS PMHNP

Provider Business Mailing Address
First Line	:	3300 N TRIUMPH BLVD STE 500
Second Line	:
City	:	LEHI
State	:	UT
Zip	:	84043-6475
Country	:	US
Telephone Number	:	801-821-2613
Fax Number	:	801-901-1194

Provider Business Practice Location Address
First Line	:	700 E 11TH ST APT 2308
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1094
Country	:	US
Telephone Number	:	646-598-7266
Fax Number	:	737-358-4087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2019
Last Update Date	:	01/27/2026

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