NPIMap

Organization Active NPI

Kittitas County Public Hospital District #1

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellensburg, WA
National Provider Identifier
1851762090
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1
Practice address
415 E Mountain View Ave
Ste 301
Ellensburg, WA 98926-5802
Phone
(509) 925-2460
NPI assigned
Oct 14, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Hanna Doolin
Title
Director of Billing
Phone
(509) 933-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

415 E Mountain View Ave
Ste 301
Ellensburg, WA 98926-5802

Mailing address

415 E Mountain View Ave
Ste 301
Ellensburg, WA 98926-5802

National Provider Directory

National Provider Directory
Tax ID family
Kittitas Valley Hosp16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

415 E Mountain View Ave
Ste 301
Ellensburg, WA 98926
Phone (509) 925-2460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1851762090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E MOUNTAIN VIEW AVE",
            "address_2": "STE 301",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989265802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E MOUNTAIN VIEW AVE",
            "address_2": "STE 301",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989265802",
            "telephone_number": "509-925-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "DOOLIN",
        "authorized_official_first_name": "HANNA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "509-933-8771"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.