Active NPI
Kate Elizabeth Bluestone, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Spokane Valley, WA
National Provider Identifier
1295325223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 61143335
- Practice address
- 15812 E Indiana Ave
Spokane Valley, WA 99216-1875 - Phone
- (509) 444-8888
- NPI assigned
- Jan 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 66454 | ID | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 61143335 | WA | Primary |
Addresses
Primary practice location
15812 E Indiana Ave
Spokane Valley, WA 99216-1875
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66454 | ID | MD | Nurse Practitioner |
| 61143335 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1295325223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15812 E INDIANA AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992161875",
"telephone_number": "509-444-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUESTONE",
"first_name": "KATE",
"middle_name": "ELIZABETH",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-23",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "66454",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "61143335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.