Sunlight Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

19373.1191 Issued in WY

Legal business name

SUNLIGHT PSYCHIATRY

Practice address

145 N Bernard St
Powell, WY 82435-2617

Phone

(307) 764-4130

NPI assigned

Oct 12, 2012

Organization subpart

No

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

Authorized official

Name

Krista L Blough, APRN

Title

Psychiatric Mental Health Nurse Pra

Phone

(307) 764-4130

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1629320775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N BERNARD ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352617",
            "telephone_number": "307-764-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N BERNARD ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352617",
            "telephone_number": "307-764-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIGHT PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "BLOUGH",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NURSE PRA",
        "authorized_official_telephone_number": "307-764-4130",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "19373.1191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Springsted Spencer, LCSW, LAT
• Karryann Stanley
• Kristin Startin, MSW
• Tina Dall States, LPC
• Douglas Sunderland, MSW
• Katherine Lindsey Swope, M.S., CF-SLP
• Tequesta Bracing
• Douglas E Thomy, CRNA
• Conne R Tippetts, OTR/L
• Bryan Kenneth Tipton, PA-C, MPAS

• All providers in Powell, WY
• Psychiatric/Mental Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.