Dativa Body and Mind Healthcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DATIVA BODY AND MIND HEALTHCARE LLC

Practice address

100 N Howard St
Spokane, WA 99201-0508

Phone

(817) 323-4275

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Margaret Nakimera Kyakuwa, NURSE PRACTITIONER

Title

Family /Psychiatric Nurse Practi

Phone

(817) 323-4275

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1497430466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST # R",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "214-335-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "817-323-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATIVA BODY AND MIND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "KYAKUWA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "NAKIMERA",
        "authorized_official_title_or_position": "FAMILY /PSYCHIATRIC NURSE PRACTI",
        "authorized_official_telephone_number": "817-323-4275",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Darst, RN00052564
• Anna Theodora Darzins
• Kristin Nicole Daschbach, BS
• Romila Dasgupta, M.ED
• Dashmesh Transport LLC
• Dativa Body and Mind Healthcare PLLC
• Matthew William Daubel, PHARM-D
• Takoda Daubel
• Kathryn A Dauer, P.T.
• Cierra Nicole Daugherty, AUD

• Primary Care Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.