Individual provider Active NPI

Nkhondo O Nkunika, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1528536364
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61572187 Issued in WA
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

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250331002462 OR Practitioner - Nurse Practitioner 5496018889 Reassigns benefits to 2 organizations

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
Willamette Valley Clinics LLCGroup PAC ID 6103729314, 39 clinicians
Sondermind PAGroup PAC ID 3577099621, 78 clinicians

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

LicenseStateTypeSpecialty
10032825ORMDPsychiatric/Mental Health Nurse Practitioner
AP61572187WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Valley Clinics LLC CurrentSince Feb 28, 2025 Accepting new patients
Kus Psychiatry LLC Psychiatric/Mental Health CurrentSince Feb 18, 2025 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.

FacilityTypeRoleSince
Lorien Nursing & Rehabilitation Center-ElkridgeElkridge, MD, CCN 215357 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.

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.

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

Verify at the official NPI Registry.