Anna Gavrishova, MA, MSN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61351967 Issued in WA

Practice address

9407 NE Vancouver Mall Dr Ste 208
Vancouver, WA 98662-6191

Phone

(360) 559-1468

NPI assigned

Jun 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science - Nursing

State licenses

Practice roles

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.

• Halcyon Counseling and Consulting, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1043080807
  NPD Authorized official

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1073809091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9407 NE VANCOUVER MALL DR STE 208",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9407 NE VANCOUVER MALL DR STE 208",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626191",
            "telephone_number": "360-559-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRISHOVA",
        "first_name": "ANNA",
        "credential": "MA, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61351967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozone Gautam, MD
• Christina Gautier
• Edith Gavino
• Sharon Bast Gavora, PSY.D.
• Natalya A Gavrishov, CPCS
• Meghan Gay, DPT
• Elaina Marie Gayles, DPT
• Lance Victor Gayton
• Guannan Ge, M.D.
• Richard Francis Gebhardt, CRNP, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in Vancouver, WA
• Providers in Vancouver, 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 Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.