Karey Kananda, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61149631 Issued in WA

Practice address

23403 E Mission Ave Ste 220B
Liberty Lake, WA 99019-5112

Phone

(208) 261-2501

Fax

(877) 935-2721

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 6, 2022 through Jun 6, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fortitude Psychiatry PLLC

  • Psychiatry Physician
  • Liberty Lake, WA
  • NPI 1225814585
  NPD Authorized official

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1467045476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21616 E WELLESLEY AVE, PO BOX 23",
            "city": "OTIS ORCHARDS",
            "state": "WA",
            "postal_code": "990272836",
            "telephone_number": "208-261-2501",
            "fax_number": "877-935-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23403 E MISSION AVE STE 220B",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990195112",
            "telephone_number": "208-261-2501",
            "fax_number": "877-935-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 N Division Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838645054",
            "country_code": "US",
            "telephone_number": "208-261-2501",
            "fax_number": "877-935-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANANDA",
        "first_name": "KAREY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61149631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sedonni Kaye Jones, L.M.P.
• Matthew Jordan
• Kimberly A Juhnke, RDH
• Dana Jwad, DMD
• Lauren E Kalberer, L.M.P.
• Lisa June Kangas, OTR
• Keenan Milonas M.D. Professional Services PLLC
• Criswell Allen Kennedy, M.D.
• Kinetic Chiropractic LLC
• Kingsford Physical Therapy and Wellness PLLC

• Psychiatric/Mental Health Nurse Practitioner in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.