Organization Active NPI

Rapha Psychiatry LLC

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1093438368
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RAPHA PSYCHIATRY LLC
Practice address
1752 NW Market St # 4741
Seattle, WA 98107-5264
Phone
(562) 388-2782
NPI assigned
Sep 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Anthonia Okpala
Title
Owner
Phone
(562) 388-2782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1752 NW Market St # 4741
Seattle, WA 98107-5264

Mailing address

3453 La Solana Ave
Clovis, CA 93619-7232

Other practice location 1

3453 La Solana Ave
Clovis, CA 93619-7232
Phone (562) 388-2782

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1093438368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 LA SOLANA AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 NW MARKET ST # 4741",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075264",
            "telephone_number": "562-388-2782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3453 La Solana Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936197232",
            "country_code": "US",
            "telephone_number": "562-388-2782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAPHA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-10-04",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "OKPALA",
        "authorized_official_first_name": "ANTHONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-388-2782"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.