Active NPI
Nkhondo O Nkunika, NP
- Psychiatric/Mental Health Nurse Practitioner
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61572187
- Practice address
- 1050 N Argonne Rd Ste 100
Spokane Valley, WA 99212-6011 - Phone
- (301) 835-8378
- NPI assigned
- Nov 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10032825 | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R195260 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61572187 | WA | Primary |
Addresses
Primary practice location
1050 N Argonne Rd Ste 100
Spokane Valley, WA 99212-6011
Mailing address
169 Rosewood Dr NW
Salem, OR 97304-3508
Phone (301) 835-8378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-6441
2829 Buena Vista Rd
Nyssa, OR 97913-5301
Phone (866) 630-0966
3000 Market St NE
Suite 355
Salem, OR 97301-1892
Phone (301) 835-8378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10032825 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61572187 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willamette Valley Clinics LLC | Current | Accepting new patients | |
| Kus Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565
2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200
2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110
5441 S Macadam Ave
Ste A
Portland, OR 97239
Phone (503) 544-5135
3000 Market St NE
Ste 355
Salem, OR 97301
Phone (301) 835-8378
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lorien Nursing & Rehabilitation Center-Elkridge | Skilled nursing facility | W-2 Managing Employee | May 1, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Nursing Facility/Intermediate Care Facility
- Elkridge, MD
- NPI 1740563931
W-2 Managing Employee
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Salem, OR
- NPI 1407664105
-
- Family Medicine Physician
- McMinnville, OR
- NPI 1790740520
-
- Clinical Social Worker
- Wichita, KS
- NPI 1710647581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1528536364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 ROSEWOOD DR NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973043508",
"telephone_number": "301-835-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N ARGONNE RD STE 100",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992126011",
"telephone_number": "301-835-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKUNIKA",
"first_name": "NKHONDO",
"middle_name": "O",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-09",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10032825",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R195260",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61572187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.