Rebekah G Fayette · Rebekah Tyle · Psychiatric/Mental Health Nurse Practitioner

4477 W Emerald St Ste C200, Boise, ID 83706-2074

Overview

Rebekah G Fayette is a Psychiatric/Mental Health Nurse Practitioner practicing in Boise, Idaho. The National Provider Identifier (NPI) is #1043690175, which was assigned on June 3, 2015, and the registration record was last updated on August 11, 2025. The practitioner's main practice location is at 4477 W Emerald St Ste C200, Boise, ID 83706-2074; the contact telephone number is 2087809295, and the fax number is 8554909559. The primary taxonomy of Rebekah G Fayette is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), with specialization in Psychiatric/Mental Health. Rebekah G Fayette is licensed to practice in the state of Idaho (#54388), Idaho (#54388).

Provider Information

NPI 1043690175
Entity Type Individual
Provider Name MS. REBEKAH G FAYETTE
Other Name REBEKAH TYLE
(Former Name)
Gender Female
Credential CNM, PMHNP
Other Credential CNM, PMHNP
Practice Address 4477 W Emerald St Ste C200
Boise
ID 83706-2074
Practice Telephone 2087809295
Practice Fax Number 8554909559
Mailing Address 10280 W Ustick Rd
Boise
ID 83704-5270
Mailing Telephone 2087809295
Certification Date 2025-08-11
Enumeration Date 2015-06-03
Last Update Date 2025-08-11
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 6406162841
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name REBEKAH G FAYETTE
Primary Specialty CERTIFIED NURSE MIDWIFE (CNM)
Organization Legal Name 5 PEPPERS INC
Address 217 W Georgia Ave
Suite 120
Nampa
ID 83686-6812

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N367A00000XAdvanced Practice Midwife54388ID
Y363LP0808XNurse PractitionerPsychiatric/Mental Health54388ID

Secondary Practice Locations

AddressTelephoneFax
1055 N Curtis Rd, Boise, ID 8370613092083672121
4477 W Emerald St Ste C200, Boise, ID 83706207420878092958554909559

Taxonomy Information

Primary Taxonomy

Code 363LP0808X
Taxonomy Psychiatric/Mental Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 367A00000X
Taxonomy Advanced Practice Midwife
Classification Advanced Practice Midwife
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, definition changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Compassionate Psychiatry 116 4th St Se, Fort Walton Beach, FL 32548-5425Psychiatric/Mental Health Nurse Practitioner2026-01-10
Robert Heiligenberg 10217 N Metro Pkwy W, Phoenix, AZ 85051-1438Psychiatric/Mental Health Nurse Practitioner2026-01-09
Jasmine Wilson 4205 Hillsboro Pike Ste 314, Nashville, TN 37215-3339Psychiatric/Mental Health Nurse Practitioner2026-01-10
Ernestine Hughes 8375 Township Dr, Owings Mills, MD 21117-5486Psychiatric/Mental Health Nurse Practitioner2026-01-10
Fleurish Mental Health and Wellness Inc 102 Carmel Dr Unit 102, Lafayette, LA 70501-5002Psychiatric/Mental Health Nurse Practitioner2026-01-10
Jared Fowler 413 Lainey Dr, Maumelle, AR 72113-7869Psychiatric/Mental Health Nurse Practitioner2026-01-10
Courtney B Campbell 420 Wilkinson Dr, Dyersburg, TN 38024-2085Psychiatric/Mental Health Nurse Practitioner2026-01-10
The Groundwork Mental Health PLLC 55 Main St Ste 232, Newmarket, NH 03857-1678Psychiatric/Mental Health Nurse Practitioner2026-01-10
Jacqueline Bravo-Ramirez 1906 Commercenter E Ste 210, San Bernardino, CA 92408-3424Psychiatric/Mental Health Nurse Practitioner2026-01-10
Motes Integrative Care LLC 525 Twin Lake Rd, Greenville, SC 29609-3963Psychiatric/Mental Health Nurse Practitioner2026-01-10
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Location Information

Street Address 4477 W EMERALD ST STE C200
City BOISE
State ID
Zip Code 83706-2074
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lindsay Rachel Sales · Lindsay Rachel Barclay 1055 N Curtis Rd, Boise, ID 83706Therapeutic Radiology Physician2008-06-10
Alexandria Jordan Hazelgrove 1529 Belmont St, Boise, ID 83706Family Nurse Practitioner2021-11-02
Jessica Rae Kirwan 1529 Belmont St, Boise, ID 83706Mental Health Counselor2017-07-20
Saint Alphonsus Regional Medical Center Inc 1055 N Curtis Rd, Boise, ID 83706Professional Counselor2007-02-02
Bruce M Hansen 1055 N. Curtis Road, Boise, ID 83706-1309Anesthesiology Physician2008-05-06
Saint Alphonsus Regional Medical Center Inc 1055 N Curtis Rd, Boise, ID 83706Nurse Practitioner2007-05-29
Saint Alphonsus Regional Medical Center Inc 1055 N Curtis Rd, Boise, ID 83706Clinical Medical Laboratory2017-03-27
Saint Alphonsus Regional Medical Center Inc 1055 N Curtis Rd, Boise, ID 83706Clinical Neuropsychologist2006-11-01
Shawnee Shaffer 808 N Curtis Rd, Boise, ID 83706-1306Speech-Language Pathologist2025-09-02
St. Alphonsus Reg Med 1055 N Curtis Rd, Boise, ID 83706Psychiatric Hospital Unit2006-09-11
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.