Active NPI
Amelie Tristant, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61565124
- Practice address
- 817 S Perry St Unit B
Spokane, WA 99202-3443 - Phone
- (509) 444-8200
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2470605 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61565124 | WA | Primary |
Addresses
Primary practice location
817 S Perry St Unit B
Spokane, WA 99202-3443
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
817 S Perry St B
Spokane, WA 99202-3443
Phone (509) 444-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2470605 | MN | MD | Registered Nurse |
| AP61565124 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients |
Locations
1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002
5901 N Lidgerwood St
Ste 223
Spokane, WA 99208
Phone (509) 489-4763
5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604
5901 N Lidgerwood St
Ste 126
Spokane, WA 99208
Phone (509) 434-1990
817 S Perry St
Unit B
Spokane, WA 99202
Phone (509) 462-6575
611 N Iron Bridge Way
Spokane, WA 99202
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900
914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393
5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590
1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204
Interoperability endpoints
- amelie.tristant.1@11411.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1598976409
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1528279437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720224000000",
"number": "1063260313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 S PERRY ST UNIT B",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992023443",
"telephone_number": "509-444-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRISTANT",
"first_name": "AMELIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "2470605",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61565124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.