Tripple J Mental Health Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TRIPPLE J MENTAL HEALTH SERVICES PLLC

Practice address

451 SW 10TH St Ste 202
Renton, WA 98057-2981

Phone

(425) 529-3814

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Osadebamwen Lizzy Omoregie, PMHNP

Title

Owner

Phone

(425) 529-3814

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1700592524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SW 10TH ST STE 202",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572981",
            "telephone_number": "425-529-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW 10TH ST STE 202",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572981",
            "telephone_number": "425-529-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPPLE J MENTAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "OMOREGIE",
        "authorized_official_first_name": "OSADEBAMWEN",
        "authorized_official_middle_name": "LIZZY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-529-3814",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.