Coherent Minds

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COHERENT MINDS

Practice address

4505 Pacific Hwy E Ste C2
Fife, WA 98424-2638

Phone

(425) 381-6544

Fax

(425) 285-7375

NPI assigned

Feb 2, 2024

Last updated

Feb 11, 2025By 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

Martha Habiyambere

Title

Ceo

Phone

(425) 381-6544

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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.

• Bupe Martha M Habiyambere

  • Psychiatric/Mental Health Nurse Practitioner
  • Fife, WA
  • NPI 1154967099
  Medicare reassignment NPD

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1871356832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WALNUT ST # 20824",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433443",
            "telephone_number": "425-381-6544",
            "fax_number": "425-285-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 PACIFIC HWY E STE C2",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242638",
            "telephone_number": "425-381-6544",
            "fax_number": "425-285-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHERENT MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "HABIYAMBERE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-381-6544"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Scott Christian, LMP
• Charles John Christnacht, N.D.
• Corie Churchward
• Darren Clancy
• Jilliene Cochran
• Complete Medical PLLC
• Laura Conley-Prince, N.P.
• Sean Contris
• Justin M. Cooper, D.O.
• Amy Coppenbarger

• Psychiatric/Mental Health Nurse Practitioner in Fife, WA
• Providers in Fife, 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 Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.