Illuminaura Emdr & Psychotherapy, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ILLUMINAURA EMDR & PSYCHOTHERAPY, PLLC

Practice address

1709 Homann Dr SE
Lacey, WA 98503-2841

Phone

(253) 365-7153

NPI assigned

Aug 22, 2025

Last updated

Aug 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lindsay Rose Montoya, NPNPI 1245015379

Title

Owner/Psych Nurse Practitioner

Phone

(360) 369-0864

Specialties & licenses 1

Addresses

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.

• Lindsay R Montoya, APRN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lacey, WA
  • NPI 1245015379
  NPD Authorized official

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1235017872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 HOMANN DR SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032841",
            "telephone_number": "253-365-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 HOMANN DR SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032841",
            "telephone_number": "253-365-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINAURA EMDR & PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/PSYCH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-369-0864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Lacey, WA
• Providers in Lacey, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.