Organization Active NPI

Mental Bliss, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1487990180
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30007542 Issued in WA
Legal business name
MENTAL BLISS, PLLC
Practice address
818 12TH Ave
Seattle, WA 98122-4410
Phone
(206) 329-5255
Fax
(206) 641-3231
NPI assigned
Dec 27, 2012
Last updated
Dec 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Dr. Kelly W Bliss, DNP, ARNP
Title
Member
Phone
(206) 329-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP30007542 WA Primary

Addresses

Primary practice location

818 12TH Ave
Seattle, WA 98122-4410

Mailing address

818 12TH Ave
Seattle, WA 98122-4410
Phone (206) 329-5255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1487990180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224410",
            "telephone_number": "206-329-5255",
            "fax_number": "206-641-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224410",
            "telephone_number": "206-329-5255",
            "fax_number": "206-641-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL BLISS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-329-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30007542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.