Active NPI
Switchback Wellness, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walla Walla, WA
National Provider Identifier
1063990851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SWITCHBACK WELLNESS, LLC
- Practice address
- 5 W Alder St Ste 342
Walla Walla, WA 99362-2849 - Phone
- (541) 371-2511
- Fax
- (509) 769-5452
- NPI assigned
- Aug 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Teddi Nee, DNP-PMHNP
- Title
- Arnp
- Phone
- (541) 371-2511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
5 W Alder St Ste 342
Walla Walla, WA 99362-2849
Mailing address
PO Box 701
College Place, WA 99324-0701
Phone (541) 980-7281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Walla Walla, WA
- NPI 1598282634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1063990851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 701",
"city": "COLLEGE PLACE",
"state": "WA",
"postal_code": "993240701",
"telephone_number": "541-980-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 W ALDER ST STE 342",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622849",
"telephone_number": "541-371-2511",
"fax_number": "509-769-5452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWITCHBACK WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-02",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "NEE",
"authorized_official_first_name": "TEDDI",
"authorized_official_title_or_position": "ARNP",
"authorized_official_telephone_number": "541-371-2511",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP-PMHNP"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.