Individual provider Active NPI

Brittany Ellen Kesten, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Moses Lake, WA
National Provider Identifier
1942776695
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61122601 Issued in WA
Practice address
1550 S Pioneer Way Ste 165
Moses Lake, WA 98837-4637
Phone
(509) 793-9780
Fax
(509) 764-3246
NPI assigned
Oct 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-154118 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61122601 WA Primary

Addresses

Primary practice location

1550 S Pioneer Way Ste 165
Moses Lake, WA 98837-4637

Mailing address

660 S Coolidge St
Moses Lake, WA 98837-1872
Phone (509) 793-9715

Other identifiers 1

IdentifierTypeStateIssuer
2171030MedicaidWA

Other names 1

  • Brittany Bestwick Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkesten1660247@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181219002759 AL Practitioner - Nurse Practitioner 0244575249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Neuropsychiatric Services, LLC CurrentSince Nov 1, 2018 Accepting new patients

Locations

185 Whitesport Dr SW
Ste 5
Huntsville, AL 35801
Phone (256) 613-2474

5315 Millennium Dr NW
Huntsville, AL 35806
Phone (256) 964-6700

Interoperability endpoints

  • Direct secure messaging: bkesten1660247@wm.providencedirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1942776695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S COOLIDGE ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988371872",
            "telephone_number": "509-793-9715",
            "fax_number": "509-764-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S PIONEER WAY STE 165",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374637",
            "telephone_number": "509-793-9780",
            "fax_number": "509-764-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTEN",
        "first_name": "BRITTANY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-154118",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61122601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2171030",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkesten1660247@wm.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "EPIC EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1550 S Pioneer Way Ste 165",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988374637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BESTWICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.