Organization Active NPI

Three Rivers Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Richland, WA
National Provider Identifier
1194113985
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60515195 Issued in WA
Legal business name
THREE RIVERS PSYCHIATRY
Practice address
750 Swift Blvd Ste 15
Richland, WA 99352-3521
Phone
(509) 940-5577
Fax
(509) 834-7286
NPI assigned
Dec 31, 2014
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Angela Combs, ARNPNPI 1093119232
Title
Nurse Practitioner
Phone
(509) 940-5577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP60515195 WA Primary

Addresses

Primary practice location

750 Swift Blvd Ste 15
Richland, WA 99352-3521

Mailing address

750 Swift Blvd Ste 15
Richland, WA 99352-3521
Phone (509) 940-5577

National Provider Directory

National Provider Directory

Locations

3801 S Zintel Way
Ste A120
Kennewick, WA 99337
Phone (509) 591-0462

750 Swift Blvd
Ste 15
Richland, WA 99352
Phone (509) 940-5577

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1194113985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SWIFT BLVD STE 15",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523521",
            "telephone_number": "509-940-5577",
            "fax_number": "509-834-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SWIFT BLVD STE 15",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523521",
            "telephone_number": "509-940-5577",
            "fax_number": "509-834-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "509-940-5577",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60515195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.