NPIMap

Organization Active NPI

Kayla Rose Cross Bloom Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1619680998
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KAYLA ROSE CROSS BLOOM PSYCHIATRY
Practice address
302 E Pacific Ave
Spokane, WA 99202-1433
Phone
(509) 557-0450
Fax
(509) 757-8981
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Kayla Cross, ARNPNPI 1952945339
Title
Owner
Phone
(509) 879-8560

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

302 E Pacific Ave
Spokane, WA 99202-1433

Mailing address

302 E Pacific Ave
Spokane, WA 99202-1433
Phone (509) 557-0450

Other practice location 1

104 S Freya St Ste 212
Spokane, WA 99202-4871
Phone (509) 557-0450

National Provider Directory

National Provider Directory

Locations

104 S Freya St
Ste 212
Spokane, WA 99202
Phone (509) 557-0450

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1619680998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E PACIFIC AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021433",
            "telephone_number": "509-557-0450",
            "fax_number": "509-757-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E PACIFIC AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021433",
            "telephone_number": "509-557-0450",
            "fax_number": "509-757-8981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Freya St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992024871",
            "country_code": "US",
            "telephone_number": "509-557-0450",
            "fax_number": "509-757-8981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAYLA ROSE CROSS BLOOM PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-879-8560",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 2, 2025; 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.