Active NPI
SG Integrative Psychiatry and Wellness PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
National Provider Identifier
1518682558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SG INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC
- Practice address
- 100 N Howard St Ste W
Spokane, WA 99201-0508 - Phone
- (509) 218-2210
- NPI assigned
- Oct 11, 2022
- Last updated
- Jun 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nkem O Nkwonta, PMHNP
- Title
- Founder
- Phone
- (919) 214-2390
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
100 N Howard St Ste W
Spokane, WA 99201-0508
Mailing address
PO Box 14123
Durham, NC 27709-4123
Phone (509) 218-2210
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1518682558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14123",
"city": "DURHAM",
"state": "NC",
"postal_code": "277094123",
"telephone_number": "509-218-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "509-218-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SG INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-11",
"last_updated": "2023-06-01",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "NKWONTA",
"authorized_official_first_name": "NKEM",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "919-214-2390",
"authorized_official_credential": "PMHNP"
},
"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 Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.