Dativa Body and Mind Healthcare PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DATIVA BODY AND MIND HEALTHCARE PLLC

Practice address

100 N Howard St Ste R
Spokane, WA 99201-0508

Phone

(817) 323-4275

NPI assigned

Apr 25, 2024

Organization subpart

No

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

Authorized official

Name

Margaret Nakimera Kyakuwa, ARNP/PMHNP

Title

Nurse Practitioner

Phone

(817) 323-4275

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Martha Wahu Mburu, ARNP, PMHNP, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Bonney Lake, WA
  • NPI 1205334927
  NPD

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1376399774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE R",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "817-323-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE R",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "817-323-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATIVA BODY AND MIND HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "KYAKUWA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "NAKIMERA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "817-323-4275",
        "authorized_official_credential": "ARNP/PMHNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Theodora Darzins
• Kristin Nicole Daschbach, BS
• Romila Dasgupta, M.ED
• Dashmesh Transport LLC
• Dativa Body and Mind Healthcare LLC
• Matthew William Daubel, PHARM-D
• Takoda Daubel
• Kathryn A Dauer, P.T.
• Cierra Nicole Daugherty, AUD
• Enid A Daugherty

• Family Medicine Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.