Organization Active NPI

Fortitude Psychiatry PLLC

  • Psychiatry Physician
  • Liberty Lake, WA
National Provider Identifier
1225814585
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FORTITUDE PSYCHIATRY PLLC
Practice address
23403 E Mission Ave Ste 200D
Liberty Lake, WA 99019-7575
Phone
(208) 261-2501
Fax
(877) 935-2721
NPI assigned
Sep 4, 2023
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Karey Nebo Kananda, PMHNPNPI 1467045476
Title
Arnp
Phone
(208) 659-9382

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)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

23403 E Mission Ave Ste 200D
Liberty Lake, WA 99019-7575

Mailing address

23403 E Mission Ave Ste 200D
Liberty Lake, WA 99019-7575
Phone (208) 261-2501

Other practice location 1

1309 Ponderosa Dr Ste 114
Sandpoint, ID 83864-8278
Phone (208) 261-2501

National Provider Directory

National Provider Directory

Locations

1218 N Division Ave
Ste 211
Sandpoint, ID 83864
Phone (208) 261-2501

1309 Ponderosa Dr
Ste 114
Sandpoint, ID 83864
Phone (208) 261-2501

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": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1225814585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23403 E MISSION AVE STE 200D",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197575",
            "telephone_number": "208-261-2501",
            "fax_number": "877-935-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23403 E MISSION AVE STE 200D",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197575",
            "telephone_number": "208-261-2501",
            "fax_number": "877-935-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 Ponderosa Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838648278",
            "country_code": "US",
            "telephone_number": "208-261-2501",
            "fax_number": "877-935-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORTITUDE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "KANANDA",
        "authorized_official_first_name": "KAREY",
        "authorized_official_middle_name": "NEBO",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "208-659-9382",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.