Individual provider Active NPI

Charity Wangui Kinyua

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1396491643
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61663500 Issued in WA
Practice address
100 N Howard St Ste W
Spokane, WA 99201-0508
Phone
(945) 297-6767
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1074018 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61663500 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022000632 TX

Addresses

Primary practice location

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

Mailing address

100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (945) 297-6767

Other practice location 1

5680 Frisco Square Blvd Ste 3000
Frisco, TX 75034-3319
Phone (469) 535-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230501001883 TX Practitioner - Nurse Practitioner 9234594037 Reassigns benefits to 2 organizations
I20250722004235 WA Practitioner - Nurse Practitioner 9234594037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanifa Healthcare PCGroup PAC ID 4284037466, 3 clinicians
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

5501 Independence Pkwy
Suite 302
Plano, TX 75023-5470
Phone (469) 661-1300

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022000632TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Hanifa Healthcare PC CurrentSince May 24, 2023 Accepting new patients
Psychiatry Associates of Texas, P.a. CurrentSince May 24, 2023 Accepting new patients

Locations

1215 W Randol Mill Rd
Arlington, TX 76012
Phone (682) 478-5333

2915 S Burleson Blvd
Burleson, TX 76028
Phone (214) 886-5009

2000 Old Hickory Trl
Ste 400
Desoto, TX 75115
Phone (972) 283-6242

4232 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 200-6680

1111 S Friendswood Dr
Ste 107
Friendswood, TX 77546
Phone (281) 482-3376

6913 Camp Bowie Blvd
Ste 171
Ft Worth, TX 76116
Phone (682) 558-4769

10223 Broadway St
Ste D1
Pearland, TX 77584
Phone (713) 436-2522

5501 Independence Pkwy
Ste 302
Plano, TX 75023
Phone (469) 747-1010

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1396491643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "945-297-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST STE W",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "945-297-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5680 Frisco Square Blvd Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343319",
            "country_code": "US",
            "telephone_number": "469-535-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINYUA",
        "first_name": "CHARITY",
        "middle_name": "WANGUI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1074018",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61663500",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2022000632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.