Active NPI
Nurturing Minds Wa PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Lynnwood, WA
National Provider Identifier
1891573408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NURTURING MINDS WA PLLC
- Practice address
- 17415 52ND Ave W Unit 4
Lynnwood, WA 98037-3082 - Phone
- (206) 330-4022
- NPI assigned
- Sep 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick C Eneje, DNP, PMHNP-BC
- Title
- Director
- Phone
- (615) 693-8471
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
17415 52ND Ave W Unit 4
Lynnwood, WA 98037-3082
Mailing address
300 Lenora St # 6083
Seattle, WA 98121-2411
Phone (206) 330-4022
Other practice location 1
608 Applejack Ct
Antioch, TN 37013-4893
Phone (615) 693-8471
Other practice location 2
1905 Sherman Street Ste 200 #2029
Denver, CO 80203
Phone (206) 330-4022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lynnwood, WA
- NPI 1124710140
-
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
- NPI 1780980623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743379200000",
"number": "1891573408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LENORA ST # 6083",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212411",
"telephone_number": "206-330-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17415 52ND AVE W UNIT 4",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980373082",
"telephone_number": "206-330-4022"
}
],
"practiceLocations": [
{
"address_1": "608 Applejack Ct",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "TN",
"postal_code": "370134893",
"country_code": "US",
"telephone_number": "615-693-8471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 Sherman Street Ste 200 #2029",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80203",
"country_code": "US",
"telephone_number": "206-330-4022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NURTURING MINDS WA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-15",
"last_updated": "2025-03-31",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "ENEJE",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-693-8471",
"authorized_official_credential": "DNP, PMHNP-BC"
},
"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 Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.