Individual provider Active NPI

George Chukwuma Nnamchi, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1184468118
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61579845 Issued in WA
Practice address
201 W North River Dr Ste 301
Spokane, WA 99201-2262
Phone
(206) 761-5869
Fax
(207) 407-7331
NPI assigned
Jun 24, 2024
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 80010 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP312924 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP241300 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61579845 WA Primary

Addresses

Primary practice location

201 W North River Dr Ste 301
Spokane, WA 99201-2262

Mailing address

340 NE Maple St
Pullman, WA 99163-4120
Phone (207) 745-9637

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
I20250604002060 WA Practitioner - Nurse Practitioner 8820507494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians
Palouse River Counseling CenterGroup PAC ID 5698768331, 12 clinicians

Practice addresses (Care Compare)

201 W N River Dr
Suite 301
Spokane, WA 99201-2262
Phone (425) 640-7009

340 NE Maple St
Palouse Rover Counseling
Pullman, WA 99163-4120
Phone (509) 334-1133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP312924AZMDPsychiatric/Mental Health Nurse Practitioner
CNP241300MEMDPsychiatric/Mental Health Nurse Practitioner
80010NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palouse River Counseling Center CurrentSince Apr 12, 2025 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Apr 15, 2025 Accepting new patients

Locations

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

340 NE Maple St
Pullman, WA 99163
Phone (509) 334-1133

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 385-5116

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1184468118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NE MAPLE ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991634120",
            "telephone_number": "207-745-9637",
            "fax_number": "207-407-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W NORTH RIVER DR STE 301",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012262",
            "telephone_number": "206-761-5869",
            "fax_number": "207-407-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAMCHI",
        "first_name": "GEORGE",
        "middle_name": "CHUKWUMA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "80010",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP312924",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP241300",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61579845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.