Individual provider Active NPI

Katie April Adams, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
National Provider Identifier
1619737210
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
304856 Issued in AZ
Practice address
1300 N Bayshore Dr
Coos Bay, OR 97420-2526
Phone
(541) 435-7000
NPI assigned
Mar 20, 2024
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 304856 AZ Primary

Addresses

Primary practice location

1300 N Bayshore Dr
Coos Bay, OR 97420-2526

Mailing address

1300 N Bayshore Dr
Coos Bay, OR 97420-2526
Phone (541) 435-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240515004331 AZ Practitioner - Nurse Practitioner 9133560576 Reassigns benefits to 1 organization
I20250403003150 OR Practitioner - Nurse Practitioner 9133560576 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
304856AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifewell Behavioral Wellness CurrentSince May 3, 2024 Accepting new patients
Waterfall Clinic, Incorporated CurrentSince May 6, 2025 Accepting new patients
Waterfall Clinic, Incorporated Psychiatric/Mental Health CurrentSince May 6, 2025 Accepting new patients
Waterfall Clinic Incorporated Current Accepting new patients
Lifewell Behavioral Wellness CurrentSince Mar 1, 2024 Accepting new patients

Locations

262 E University Dr
Mesa, AZ 85201
Phone 60280828005539

6915 E Main St
Ste 200
Mesa, AZ 85207

10844 N 23rd Ave
Ste 100
Phoenix, AZ 85029
Phone (602) 208-2800

10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

3540 E Baseline Rd
Ste 150
Phoenix, AZ 85042
Phone (480) 739-5784

40 E Mitchell Dr
Ste 100
Phoenix, AZ 85012
Phone (602) 995-7474

4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220

1890 Waite St
Ste 1
North Bend, OR 97459
Phone (541) 435-7033

Interoperability endpoints

  • Direct secure messaging: kadams799804@direct.ochin.org
  • Direct secure messaging: katie.adamsnp.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1619737210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N BAYSHORE DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202526",
            "telephone_number": "541-435-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N BAYSHORE DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202526",
            "telephone_number": "541-435-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KATIE",
        "middle_name": "APRIL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "304856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

Verify at the official NPI Registry.