Active NPI
Lavender Kansas Psychiatric Nurse Practitioner PA
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1588518823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LAVENDER KANSAS PSYCHIATRIC NURSE PRACTITIONER PA
- Practice address
- 245 5TH Ave FL 3
New York, NY 10016-8728 - Phone
- (855) 444-7258
- NPI assigned
- Feb 24, 2026
- 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
- Brighid Gannon
- Title
- Ceo
- Phone
- (855) 444-7258
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
245 5TH Ave FL 3
New York, NY 10016-8728
Mailing address
22406 68TH Ave W
Mountlake Terrace, WA 98043-2372
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1588518823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22406 68TH AVE W",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168728",
"telephone_number": "855-444-7258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVENDER KANSAS PSYCHIATRIC NURSE PRACTITIONER PA",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "GANNON",
"authorized_official_first_name": "BRIGHID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "855-444-7258"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Rebecca Dzenis Lavelle
- Sera Lavelle, PH.D
- Elana Pearl Lavenda, OTR/L
- Lavender California Psychiatric Nursing PC
- Lavender Health NP in Family Health PLLC
- Lavender New Jersey Psychiatric Nurse Practitioner PC
- Lavender New York Nurse Practitioner in Psychiatry PC
- Joan Ellen Lavender, PSY. D.
- Steven James Lavender, PT
- Lorraine Lavenita, L. AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.