NPIMap

Organization Active NPI

Riverwalk Psychiatry PLLC

  • Psychiatry Physician
  • Richland, WA
National Provider Identifier
1285342535
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RIVERWALK PSYCHIATRY PLLC
Practice address
705 Gage Blvd Ste 100
Richland, WA 99352-9716
Phone
(208) 949-5118
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Alexis Andrea Grimm, NPNPI 1245994854
Title
Pmhnp
Phone
(509) 907-4693

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

705 Gage Blvd Ste 100
Richland, WA 99352-9716

Mailing address

705 Gage Blvd Ste 100
Richland, WA 99352-9716
Phone (509) 907-4693

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1285342535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GAGE BLVD STE 100",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529716",
            "telephone_number": "509-907-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GAGE BLVD STE 100",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529716",
            "telephone_number": "208-949-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "509-907-4693",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.