Individual provider Active NPI

Patricia Spangler Greim, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kirkland, WA
National Provider Identifier
1942809280
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61259404 Issued in WA
Practice address
12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950
Phone
(727) 501-4217
Fax
(425) 974-0518
NPI assigned
Oct 19, 2020
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61259404 WA Primary

Addresses

Primary practice location

12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950

Mailing address

721 4TH Ave Unit 2283
Kirkland, WA 98033-9997
Phone (727) 501-4217

Other practice location 1

19515 N Creek Pkwy Ste 202
Bothell, WA 98011-8200
Phone (425) 949-0204

Other names 1

  • Ms. Patricia Greim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP61259404WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B Devney CurrentSince May 1, 2024 Accepting new patients

Locations

19515 North Creek Pkwy
Ste 202
Bothell, WA 98011
Phone (425) 443-6496

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1942809280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 4TH AVE UNIT 2283",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980339997",
            "telephone_number": "727-501-4217",
            "fax_number": "425-974-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 113TH AVE NE STE 210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346950",
            "telephone_number": "727-501-4217",
            "fax_number": "425-974-0518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19515 N Creek Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980118200",
            "country_code": "US",
            "telephone_number": "425-949-0204",
            "fax_number": "855-936-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREIM",
        "first_name": "PATRICIA",
        "middle_name": "SPANGLER",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61259404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GREIM",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.