Active NPI
Brent Joseph Landkammer, PMHNP-BC, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60966969
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP60966969 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Basin Health Association | Single Specialty | Current | Accepting new patients |
| Canyonview Family Psychiatry, PLLP | Single Specialty | Current | Accepting new patients |
| Columbia Basin Health Association | Psychiatric/Mental Health | Current | Accepting new patients |
| Lourdes Hospital LLC | Single Specialty | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Connell, WA
- NPI 1528316379
Single Specialty
-
- Psychiatry Physician
- Kennewick, WA
- NPI 1972156297
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225716947
Psychiatric/Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.