Active NPI
Cardinal Support Wa LLC
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
National Provider Identifier
1114860103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CARDINAL SUPPORT WA LLC
- Practice address
- 100 N Howard St
Spokane, WA 99201-0508 - Phone
- (817) 898-7860
- NPI assigned
- Apr 13, 2026
- Last updated
- Apr 24, 2026
- 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
- Nwamaka Larvine Emeruem
- Title
- Owner
- Phone
- (817) 898-7860
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 | NU | Primary |
Addresses
Primary practice location
100 N Howard St
Spokane, WA 99201-0508
Mailing address
2804 S Lakeview Dr
Cedar Hill, TX 75104-8233
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, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Vancouver, WA
- NPI 1508366642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1114860103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 S LAKEVIEW DR",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751048233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HOWARD ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "817-898-7860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL SUPPORT WA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "EMERUEM",
"authorized_official_first_name": "NWAMAKA",
"authorized_official_middle_name": "LARVINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-898-7860"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.