Individual provider Active NPI

Rita Palisaityte, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1407929383
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60585209 Issued in WA
Practice address
4120 Meridian St # Sr220
Bellingham, WA 98226-6471
Phone
(360) 922-3030
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60585209 WA Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

4120 Meridian St # Sr220
Bellingham, WA 98226-6471

Mailing address

1100 S 2ND St
Mount Vernon, WA 98273-4209
Phone (360) 419-3500

Other practice location 1

1100 S 2nd St
Mount Vernon, WA 98273-4209
Phone (360) 419-3500

Other identifiers 1

IdentifierTypeStateIssuer
1407929383MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150922001032 WA Practitioner - Nurse Practitioner 2860709995 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health CurrentSince Aug 17, 2015 Accepting new patients
Lake Whatcom Residential & Treatment Center CurrentSince Mar 3, 2019 Accepting new patients
Lummi Indian Business Council CurrentSince Dec 30, 2017 Accepting new patients
Lummi Indian Business Council CurrentSince Dec 30, 2017 Accepting new patients

Locations

2592 Kwina Rd
Bellingham, WA 98226
Phone (360) 312-2000

3600 Meridian St
Bellingham, WA 98225
Phone (360) 676-6000

1100 S 2nd St
Mount Vernon, WA 98273
Phone (360) 419-3500

Organizations & group practices 4

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1407929383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S 2ND ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734209",
            "telephone_number": "360-419-3500",
            "fax_number": "360-419-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 MERIDIAN ST # SR220",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266471",
            "telephone_number": "360-922-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982734209",
            "country_code": "US",
            "telephone_number": "360-419-3500",
            "fax_number": "360-419-3505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALISAITYTE",
        "first_name": "RITA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60585209",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407929383",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.