Active NPI
Heal Wa PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1174268155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEAL WA PLLC
- Practice address
- 2105 112TH Ave NE Ste 201
Bellevue, WA 98004-2945 - Phone
- (208) 261-2411
- Fax
- (866) 291-4766
- NPI assigned
- May 3, 2022
- Organization subpart
- Yes
- Parent organization
- HEAL PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Lynn
- Title
- Clinical Director
- Phone
- (208) 261-2411
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
2105 112TH Ave NE Ste 201
Bellevue, WA 98004-2945
Mailing address
PO Box 1173
Post Falls, ID 83877-1173
Phone (208) 261-2411
Other practice location 1
522 W Riverside Ave Ste N
Spokane, WA 99201-0580
Phone (208) 261-2411
National Provider Directory
National Provider Directory- Part of
- Heal PLLC
Locations
2105 112th Ave NE
Ste 201
Bellevue, WA 98004
Phone (425) 770-0190
Practitioners & 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
- Hayden, ID
- NPI 1003412313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1174268155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1173",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838771173",
"telephone_number": "208-261-2411",
"fax_number": "866-291-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 112TH AVE NE STE 201",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980042945",
"telephone_number": "208-261-2411",
"fax_number": "866-291-4766"
}
],
"practiceLocations": [
{
"address_1": "522 W Riverside Ave Ste N",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992010580",
"country_code": "US",
"telephone_number": "208-261-2411",
"fax_number": "866-291-4766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEAL WA PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEAL PLLC",
"enumeration_date": "2022-05-03",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "LYNN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "208-261-2411"
},
"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 Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.