Lightle Psychiatric Services LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

AP 60071357 Issued in WA

Legal business name

LIGHTLE PSYCHIATRIC SERVICES LLC

Practice address

13303 E Mission Ave Apt 189
Spokane Valley, WA 99216-2792

Phone

(509) 993-2021

NPI assigned

Aug 28, 2010

Last updated

Aug 28, 2010By 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

Patty Kay Fray, ARNP-BC

Title

Psychiatric Nurse Practitioner

Phone

(509) 993-2021

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282953600000",
    "number": "1841506706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 E MISSION AVE APT 189",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162792",
            "telephone_number": "509-993-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 E MISSION AVE APT 189",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162792",
            "telephone_number": "509-993-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTLE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-28",
        "last_updated": "2010-08-28",
        "status": "A",
        "authorized_official_last_name": "FRAY",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "509-993-2021",
        "authorized_official_credential": "ARNP-BC"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "WA",
            "license": "AP60071357",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "WA",
            "license": "AP 60071357",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "AP 60071357",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "AP 60071357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity R Lewis
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• Shay Leyk
• Liana Groza DDS PLLC
• Liberty ASC
• Carol Chia I Lin, D.D.S
• Carrie Linares, LPN
• Amanda Linarte
• Lincare Inc.
• Rosanna Lincecum, LMP

• Assisted Living Facility (Behavioral Disturbances) in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Assisted Living Facility (Behavioral Disturbances) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2010; 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.