Individual provider Active NPI

Brent Joseph Landkammer, PMHNP-BC, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1275535866
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60966969 Issued in WA
Practice address
1030 N Center Pkwy Ste N197
Kennewick, WA 99336-7160
Phone
(509) 957-2130
Fax
(509) 957-2096
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP60966969 WA Primary

Addresses

Primary practice location

1030 N Center Pkwy Ste N197
Kennewick, WA 99336-7160

Mailing address

1030 N Center Pkwy Ste N197
Kennewick, WA 99336-7160
Phone (509) 957-2130

Other practice location 1

450 Thain Rd Ste F
Lewiston, ID 83501-5300
Phone (509) 957-2130

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
I20210219001387 WA Practitioner - Nurse Practitioner 6103231337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1515 E Columbia St
Othello, WA 99344-1846
Phone 50948852568512

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60966969WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Basin Health Association Single Specialty Current Accepting new patients
Canyonview Family Psychiatry, PLLP Single Specialty CurrentSince Jul 25, 2019 Accepting new patients
Columbia Basin Health Association Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Lourdes Hospital LLC Single Specialty CurrentSince Feb 22, 2021 Accepting new patients
Lourdes Hospital LLC Single Specialty Past Accepting new patients

Locations

450 Thain Rd
Ste F
Lewiston, ID 83501
Phone (208) 743-0150

1030 N Center Pkwy
Ste N197
Kennewick, WA 99336
Phone (509) 957-2130

601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512

1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250

520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140

1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536

6115 Burden Blvd
Ste D
Pasco, WA 99301
Phone 5094885256 ext. 8512

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104

Organizations & group practices 5

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1275535866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N CENTER PKWY STE N197",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367160",
            "telephone_number": "509-957-2130",
            "fax_number": "509-957-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N CENTER PKWY STE N197",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367160",
            "telephone_number": "509-957-2130",
            "fax_number": "509-957-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Thain Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835015300",
            "country_code": "US",
            "telephone_number": "509-957-2130",
            "fax_number": "509-957-2096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDKAMMER",
        "first_name": "BRENT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC, ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60966969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.