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MS. JOANNA ELISE WIESE
NPI 1063711869
Psychologist - Prescribing (Medical) in Mountain Home Afb, ID

Active since March 18, 2011
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648(208) 828-7581 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2023, Jun 29, 2017, Mar 25, 2016 (3 updates tracked since 2016).

About Ms. Joanna Elise Wiese NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JOANNA ELISE WIESE (NPI 1063711869) is an individual prescribing (medical) provider in Mountain Home Afb, Idaho, licensed in Idaho (203430) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1063711869
Entity TypeIndividualFemale
Primary Taxonomy103TP0016X
Provider Legal NameMS. JOANNA ELISE WIESE
Location Address90 HOPE DR BLDG 6000Mountain Home Afb, ID 83648-1062
Mailing Address9169 W State St Ste 725Boise, ID 83714-1733 · (208) 828-7581
Phone(208) 828-7581
Sole ProprietorNo
Enumeration DateMarch 18, 2011
Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1063711869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in ID · 203430
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648
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Other Names 1

Former Name (1)Ms. Joanna Elise Temple Phd

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON L WILSON LCSW
Social Worker (Clinical)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 288-7580
DR. CRAIG LOYD FOLSOM D.D.S.
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7300
MCKENZIE LEIGH NUTTER DDS
Military Health Care Provider
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7300
DR. STEPHEN STERLING POTTER DDS
Dentist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7300
BRANYAN DECARLO GARCIA FNP
Nurse Practitioner (Family)
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7596
BICHLE THI NGUYEN D.O.
General Practice
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7401
MICHAEL BOCEK PHARMD
Pharmacist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7521
SYLVIA LASHAWN TOOMER DENTAL HYGIENIST
Dental Hygienist
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joanna Wiese's NPI number?

The NPI number for Joanna Wiese is 1063711869. It was assigned to this individual provider in the NPPES registry on March 18, 2011. The provider is also known as Ms. Joanna Elise Temple Phd.

Where is Joanna Wiese located?

Joanna Wiese practices at 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648. The listed phone number is (208) 828-7581.

What is Joanna Wiese's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Joanna Wiese was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.