Individual provider Active NPI

Laline Riley, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Allyn, WA
National Provider Identifier
1083489868
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP70046124 Issued in WA
Practice address
18460 E State Route 3 Unit 3
Allyn, WA 98524-8728
Phone
(360) 228-5576
Fax
(360) 523-1770
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70046124 WA Primary

Addresses

Primary practice location

18460 E State Route 3 Unit 3
Allyn, WA 98524-8728

Mailing address

14580 NW Honeyhill Loop
Seabeck, WA 98380-9730
Phone (360) 551-0951

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260128001590 WA Practitioner - Nurse Practitioner 5496233827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18460 E State Route 3
Allyn, WA 98524-8728
Phone (360) 228-5576

2142 W Railroad Ave
Shelton, WA 98584-7813
Phone (360) 228-5576

23211 Sr-3 Unit C
Belfair, WA 98528-9324
Phone (360) 228-5576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP70046124WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Psychiatric and Wellness, PLLC Psychiatric/Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Kitsap Mental Health Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1083489868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14580 NW HONEYHILL LOOP",
            "city": "SEABECK",
            "state": "WA",
            "postal_code": "983809730",
            "telephone_number": "360-551-0951",
            "fax_number": "360-523-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18460 E STATE ROUTE 3 UNIT 3",
            "city": "ALLYN",
            "state": "WA",
            "postal_code": "985248728",
            "telephone_number": "360-228-5576",
            "fax_number": "360-523-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LALINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70046124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allyn, WA

Sources for this page

Verify at the official NPI Registry.