Organization Active NPI

Vida Balance PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shoreline, WA
National Provider Identifier
1487580940
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VIDA BALANCE PLLC
Practice address
15838 11TH Ave NE
Shoreline, WA 98155-6302
Phone
(360) 436-6442
NPI assigned
Jun 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
April Isamar Carrillo, DNP, ARNP, PMHNP-BC
Title
Psychiatric Nurse Practitioner
Phone
(360) 436-6442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

15838 11TH Ave NE
Shoreline, WA 98155-6302

Mailing address

15838 11TH Ave NE
Shoreline, WA 98155-6302
Phone (360) 436-6442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1487580940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15838 11TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556302",
            "telephone_number": "360-436-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15838 11TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556302",
            "telephone_number": "360-436-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA BALANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "ISAMAR",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-436-6442",
        "authorized_official_credential": "DNP, ARNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.