Individual provider Active NPI

Rose Chibloom, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1952231516
Registry record updated Aug 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP.AP.70124700-NP Issued in WA
Practice address
309 W 2ND Ave Ste 200
Spokane, WA 99201-6013
Phone
(571) 249-5018
NPI assigned
May 22, 2026
Last updated
Aug 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 340104 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 118159-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10060967 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11048575 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP.AP.70124700-NP WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 408509 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95040433 CA

Addresses

Primary practice location

309 W 2ND Ave Ste 200
Spokane, WA 99201-6013

Mailing address

923 Elm St # 340
Manchester, NH 03101-2003

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
408509NYMDPsychiatric/Mental Health Nurse Practitioner
10060967ORMDPsychiatric/Mental Health Nurse Practitioner
ARNP.AP.70124700-NPWAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caramend PLLC Psychiatric/Mental Health Current Accepting new patients
Empathiatry Nursing P.C. Psychiatric/Mental Health Past Accepting new patients

Locations

923 Elm St
Manchester, NH 03101
Phone (518) 620-1670

309 W 2nd Ave
Ste 200
Spokane, WA 99201
Phone (571) 249-5018

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": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1952231516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 ELM ST # 340",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W 2ND AVE STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992016013",
            "telephone_number": "571-249-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIBLOOM",
        "first_name": "ROSE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "340104",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "118159-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10060967",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11048575",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "ARNP.AP.70124700-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408509",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95040433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.