Active NPI
Desert Sage Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Kennewick, WA
National Provider Identifier
1104573963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DESERT SAGE PSYCHIATRY
- Practice address
- 8927 W Tucannon Ave Ste 102
Kennewick, WA 99336-7176 - Phone
- (509) 572-9330
- NPI assigned
- Mar 2, 2022
- 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
- Kristine P McMurray, ARNP
- Title
- Owner
- Phone
- (509) 551-7241
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
8927 W Tucannon Ave Ste 102
Kennewick, WA 99336-7176
Mailing address
76911 E Homestead Rd
Kennewick, WA 99338-7634
Phone (509) 551-7241
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
- Everett, WA
- NPI 1073820288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1104573963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76911 E HOMESTEAD RD",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993387634",
"telephone_number": "509-551-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8927 W TUCANNON AVE STE 102",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993367176",
"telephone_number": "509-572-9330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT SAGE PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-02",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "MCMURRAY",
"authorized_official_first_name": "KRISTINE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-551-7241",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.