Individual provider Active NPI

Keri Damsgaard, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1366049389
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61255006 Issued in WA
Practice address
4660 NE 77TH Ave Ste 308
Vancouver, WA 98662-6705
Phone
(360) 930-6535
Fax
(855) 644-3001
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN60658286 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61255006 WA Primary

Addresses

Primary practice location

4660 NE 77TH Ave Ste 308
Vancouver, WA 98662-6705

Mailing address

713 Walters Mill Rd
Forest Hill, MD 21050-1423
Phone (360) 930-6535

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60658286WAMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nabi Behavioral Health Services PLLC Psychiatric/Mental Health CurrentSince Dec 1, 2020 Accepting new patients
Med RX Partners, P.C. Psychiatric/Mental Health Past Accepting new patients
Med RX Partners, PC Psychiatric/Mental Health Past Accepting new patients

Locations

4660 NE 77th Ave
Ste 308
Vancouver, WA 98662
Phone (360) 930-6535

Organizations & group practices 3

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1366049389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 WALTERS MILL RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210501423",
            "telephone_number": "360-930-6535",
            "fax_number": "855-644-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 NE 77TH AVE STE 308",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626705",
            "telephone_number": "360-930-6535",
            "fax_number": "855-644-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMSGAARD",
        "first_name": "KERI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "RN60658286",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61255006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.