Individual provider Active NPI

Janamjeet N/a Kaur, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Stevens, WA
National Provider Identifier
1649034968
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP6152763 Issued in WA
Practice address
3637 115TH CT NE
Lake Stevens, WA 98258-8173
Phone
(425) 879-3619
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 AP6152763 WA Primary

Addresses

Primary practice location

3637 115TH CT NE
Lake Stevens, WA 98258-8173

Mailing address

3637 115TH CT NE
Lake Stevens, WA 98258-8173
Phone (425) 350-6531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240405003177 WA Practitioner - Nurse Practitioner 8628416872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass HealthGroup PAC ID 5799682357, 44 clinicians

Practice addresses (Care Compare)

4526 Federal Ave
Everett, WA 98203-2132
Phone (425) 349-6200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Youth and Family Counseling CurrentSince Mar 18, 2024 Accepting new patients
Compass Health CurrentSince Sep 5, 2024 Accepting new patients

Locations

4526 Federal Ave
Everett, WA 98203
Phone (425) 349-8397

221 W Wynooche Ave
Unit B
Montesano, WA 98563
Phone (360) 280-4969

16000 Christensen Rd
Ste 200
Tukwila, WA 98188
Phone (833) 719-0886

Organizations & group practices 2

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1649034968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 115TH CT NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588173",
            "telephone_number": "425-350-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 115TH CT NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588173",
            "telephone_number": "425-879-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "JANAMJEET",
        "middle_name": "N/A",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP6152763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

Verify at the official NPI Registry.