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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

EMMANUEL TOBILOBA FASOOTO DNP, PMHNP-BC
NPI 1457272700
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since July 23, 2026
1672 S WOODSAGE AVE, MERIDIAN, ID 83642(208) 248-4683 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Emmanuel Tobiloba Fasooto Dnp, Pmhnp-bc NPPES

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

EMMANUEL TOBILOBA FASOOTO DNP, PMHNP-BC (NPI 1457272700) is an individual psychiatric/mental health provider in Meridian, Idaho, licensed in Idaho (8381022) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1457272700
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEMMANUEL TOBILOBA FASOOTOCredential: DNP, PMHNP-BC
Location Address1672 S WOODSAGE AVEMeridian, ID 83642-8329
Mailing Address1672 S Woodsage AveMeridian, ID 83642-8329 · (208) 248-4683
Phone(208) 248-4683
Sole ProprietorNo
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1457272700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 8381022
1672 S WOODSAGE AVE, Meridian, ID 83642
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Other Providers at the Same Location NPPES 4

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

JARROD VAUGHN CRUMP NP
Nurse Practitioner (Psychiatric/Mental Health)
1672 S WOODSAGE AVE
MERIDIAN, ID 83642
Ada County (208) 515-2273
PAMELA KAY BRILL
Counselor
1672 S WOODSAGE AVE
MERIDIAN, ID 83642
Ada County (208) 515-2273
CARMEN MARIE STEPHENS DNP-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1672 S WOODSAGE AVE
MERIDIAN, ID 83642
Ada County (208) 515-2273
BABATUNDE SAMUEL OLOWU PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1672 S WOODSAGE AVE
MERIDIAN, ID 83642
Ada County (208) 515-2273

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 Emmanuel Fasooto's NPI number?

The NPI number for Emmanuel Fasooto is 1457272700. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Emmanuel Fasooto located?

Emmanuel Fasooto practices at 1672 S Woodsage Ave, Meridian, ID 83642. The listed phone number is (208) 248-4683.

What is Emmanuel Fasooto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Emmanuel Fasooto was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.