Community Health Outreach

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COMMUNITY HEALTH OUTREACH

Practice address

2747 Pacific Ave SE Ste B19
Olympia, WA 98501-2094

Phone

(360) 481-7477

Fax

(360) 350-0697

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Brook Eastman

Title

Office Manager

Phone

(360) 481-7477

Specialties & licenses 1

Addresses

Other names 2

• Community Health Outreach Doing business as
• Jeanette Revay Doing business as

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1861269342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 PACIFIC AVE SE STE B19",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012094",
            "telephone_number": "360-481-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 PACIFIC AVE SE STE B19",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012094",
            "telephone_number": "360-481-7477",
            "fax_number": "360-350-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "EASTMAN",
        "authorized_official_first_name": "BROOK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-481-7477"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Outreach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jeanette Revay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Columbia Capital Medical Center, LP
• Rebecca A Combs, LMP
• Kelly Lynn Comeau
• Kenneth Douglas Common, O.D.
• Community Chiropractic PS
• Community Youth Services
• Compassionate Pathways Psychology Services, LLC
• Compassionate Psychiatry, PLLC
• Comstock Physical Therapy
• Kelly Lynn Comstock, M.A.

• Psychiatric/Mental Health Nurse Practitioner in Olympia, WA
• Providers in Olympia, 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 Dec 5, 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.