Individual provider Active NPI

Tatiana Mikhailovna Pritchard, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1669913844
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60730570 Issued in WA
Practice address
10000 NE 7TH Ave Ste 410
Vancouver, WA 98685-4548
Phone
(360) 836-4455
Fax
(833) 553-2040
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60730570 WA
Family Nurse Practitioner 363LF0000X 201701875NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201908259NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60730570 WA Primary

Addresses

Primary practice location

10000 NE 7TH Ave Ste 410
Vancouver, WA 98685-4548

Mailing address

10000 NE 7TH Ave Ste 410
Vancouver, WA 98685-4548
Phone (360) 836-4455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tatiana@vancouverADHDandMood.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201908259NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vancouver ADHD and Mood Clinic, PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tatiana@vancouveradhdandmood.com

Organizations & group practices 1

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1669913844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 NE 7TH AVE STE 410",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854548",
            "telephone_number": "360-836-4455",
            "fax_number": "833-553-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 NE 7TH AVE STE 410",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854548",
            "telephone_number": "360-836-4455",
            "fax_number": "833-553-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "TATIANA",
        "middle_name": "MIKHAILOVNA",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60730570",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201701875NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201908259NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60730570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tatiana@vancouverADHDandMood.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10000 NE 7th Ave Ste 410",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986854548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.