Active NPI
Kristy Erin Brooten, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61525276
- Practice address
- 3002 E. Mission Ave
Spokane, WA 99202 - Phone
- (094) 448-8200
- NPI assigned
- Feb 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61525276 | WA | Primary |
Addresses
Primary practice location
3002 E. Mission Ave
Spokane, WA 99202
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Other practice location 1
1023 W Francis Ave
Spokane, WA 99205-6669
Phone (509) 594-6771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61525276 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Mind Body Soul Psychiatry PLLC | Current | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients | |
| Community Health Association of Spokane | Past | Accepting new patients |
Locations
1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002
5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590
914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393
3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900
5901 N Lidgerwood St
Ste 223
Spokane, WA 99208
Phone (509) 489-4763
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
611 N Iron Bridge Way
Spokane, WA 99202
817 S Perry St
Unit B
Spokane, WA 99202
Phone (509) 462-6575
5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
-
- Psychiatry Physician
- Spokane, WA
- NPI 1659230241
-
- Federally Qualified Health Center (FQHC)
- Spokane Valley, WA
- NPI 1184018954
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1295946101
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1598976409
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1770972754
-
- Federally Qualified Health Center (FQHC)
- Deer Park, WA
- NPI 1912085135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1750145769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 E. MISSION AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99202",
"telephone_number": "094-448-8200"
}
],
"practiceLocations": [
{
"address_1": "1023 W Francis Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992056669",
"country_code": "US",
"telephone_number": "509-594-6771",
"fax_number": "949-695-4395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOTEN",
"first_name": "KRISTY",
"middle_name": "ERIN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-09",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61525276",
"primary": true
}
],
"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 May 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.