| Sara Joanne Mitchem, PMHNP | |
| 
					2286 Poen Rd, Kuna, ID 83634-1783  | |
| (208) 830-2518 | |
| Not Available | 
| Full Name | Sara Joanne Mitchem | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 2286 Poen Rd, Kuna, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245947720 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 74437 (Idaho) | Primary | 
| Entity Name | Human Supports Of Idaho | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922340124 PECOS PAC ID: 0244485894 Enrollment ID: O20130305000118  | 
| Entity Name | Integrity Psychiatric Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922582501 PECOS PAC ID: 4082968599 Enrollment ID: O20181120002521  | 
| Entity Name | Behavioral Health Solutions Of Idaho | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1164286092 PECOS PAC ID: 7012453830 Enrollment ID: O20240729001133  | 
| Entity Name | Sondermind Provider Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240815003711  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sara Joanne Mitchem, PMHNP 2286 Poen Rd, Kuna, ID 83634-1783 Ph: (208) 830-2518  | Sara Joanne Mitchem, PMHNP 2286 Poen Rd, Kuna, ID 83634-1783 Ph: (208) 830-2518  | 
Selah Worley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13500 Pleasant Vly Rd, Kuna, ID 83634 Phone: 208-336-0740  | |
Kara Dawn Prince, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 W Deer Flat Rd Ste 150, Kuna, ID 83634 Phone: 208-858-4876  | |
Mr. Rex O Underwood Ii, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13900 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-333-0037  | |
Mr. William Lincoln Poulson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13500 South Pleasant Valley Road, Kuna, ID 83634 Phone: 208-371-7468  | |
Amanda Marie Tillemans, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13500 S Pleasant Valley Rd, Kuna, ID 83634 Phone: 208-336-0740  | |
Brennan N Carmody, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 943 N Linder Rd Ste 103, Kuna, ID 83634 Phone: 208-565-0978  |