Active NPI
Salome Munyori
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61098523
- Practice address
- 104 W 5TH Ave
Spokane, WA 99204-4820 - Phone
- (509) 992-1888
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61098523 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | RN183874 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61098523 | WA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | RN183874 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | AP61098523 | WA |
Addresses
Primary practice location
104 W 5TH Ave
Spokane, WA 99204-4820
Mailing address
104 W 5TH Ave
Spokane, WA 99204-4820
Phone (509) 992-1888
Other practice location 1
62 Sweet Birch Ln
Dallas, GA 30132-9749
Phone (404) 483-8731
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cedarcrest Behavioral Medicine LLC
Practice addresses (Care Compare)
104 W 5TH Ave
Spokane, WA 99204-4820
Phone (623) 670-0840
12623 E Sprague Ave
Suite 6
Spokane Valley, WA 99216-0764
Phone (509) 505-4035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61098523 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vytaliz Medical | Current | Accepting new patients | |
| Cedarcrest Behavioral Medicine LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Spokane Behavioral Health LLC | Current | Accepting new patients |
Locations
104 W 5th Ave
Spokane, WA 99204
Phone (509) 992-1888
12623 E Sprague Ave
Ste 6
Spokane Valley, WA 99216
Phone (509) 505-4035
Organizations & group practices 3
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.
-
- Psychiatric Hospital
- Spokane, WA
- NPI 1932698107
-
- Psychiatric/Mental Health Nurse Practitioner
- Spokane Valley, WA
- NPI 1700698271
-
- Internal Medicine Physician
- New City, NY
- NPI 1568831105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1659786143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044820",
"telephone_number": "509-992-1888",
"fax_number": "509-293-6508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992044820",
"telephone_number": "509-992-1888"
}
],
"practiceLocations": [
{
"address_1": "62 Sweet Birch Ln",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "GA",
"postal_code": "301329749",
"country_code": "US",
"telephone_number": "404-483-8731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNYORI",
"first_name": "SALOME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61098523",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN183874",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61098523",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN183874",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP61098523",
"primary": false
}
],
"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 Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.