Spokane Resource Group, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60211296 Issued in WA

Legal business name

SPOKANE RESOURCE GROUP, PLLC

Practice address

1817 E Springfield Ave
Suite E.
Spokane, WA 99202-2913

Phone

(509) 262-6406

Fax

(509) 262-6406

NPI assigned

Jul 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Troy Bruner, ED.D

Title

Business Manager

Phone

(509) 262-6406

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan KS Bruner, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
  • NPI 1376849737
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1013205483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 E SPRINGFIELD AVE",
            "address_2": "SUITE E.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022913",
            "telephone_number": "509-262-6406",
            "fax_number": "509-262-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 E SPRINGFIELD AVE",
            "address_2": "SUITE E.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022913",
            "telephone_number": "509-262-6406",
            "fax_number": "509-262-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE RESOURCE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-262-6406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60115733",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60211296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spokane Psychology and Neuropsychology, PS
• Spokane Public Schools District 81
• Spokane Radiology Consultants, PS
• Spokane Regional Health District
• Spokane Rehab & Pain Clinic, LLC
• Spokane River Midwives
• Spokane Royal Park Care, LLC
• Spokane Royal Park Retirement, LLC
• Spokane School District #81
• Spokane Serenity Solutions PLLC

• Psychiatric/Mental Health Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.