Individual provider Active NPI

Alejandra Elizondo, DNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1255229100
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
70010465 Issued in WA
Practice address
7011 W Canal Dr
Kennewick, WA 99336-7687
Phone
(509) 735-6446
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3481504 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 70010465 WA Primary

Addresses

Primary practice location

7011 W Canal Dr
Kennewick, WA 99336-7687

Mailing address

3017 Road 56
Pasco, WA 99301-2391
Phone (509) 975-2501

Other practice location 1

30 S Louisiana St
Kennewick, WA 99336-9002
Phone (509) 975-2501

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
I20250905003352 WA Practitioner - Nurse Practitioner 7315449626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1944 Pacific Ave
Suite 206
Tacoma, WA 98402-3102

4845 Parkview Dr
Lake Oswego, OR 97035-4485

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP.AP.70010465-NPWAMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elizondo Psychiatric Solutions PLLC CurrentSince Aug 17, 2025 Accepting new patients
Lutheran Community Services Northwest Current Accepting new patients
Lutheran Community Services Northwest CurrentSince Jul 7, 2025 Accepting new patients
Lutheran Community Services Northwest CurrentSince Jul 7, 2025 Accepting new patients

Locations

3321 W Kennewick Ave
Ste 150
Kennewick, WA 99336
Phone (509) 735-6446

210 W Sprague Ave
Spokane, WA 99201
Phone (509) 747-8224

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1255229100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 ROAD 56",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012391",
            "telephone_number": "509-975-2501",
            "fax_number": "509-463-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 W CANAL DR",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367687",
            "telephone_number": "509-735-6446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 S Louisiana St",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993369002",
            "country_code": "US",
            "telephone_number": "509-975-2501",
            "fax_number": "509-463-4563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "ALEJANDRA",
        "credential": "DNP PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "3481504",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "70010465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.