Active NPI
Kayla Rose Cross, PMH-NP, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61014279
- Practice address
- 302 E Pacific Ave
Spokane, WA 99202-1433 - Phone
- (509) 557-0450
- Fax
- (509) 757-8981
- NPI assigned
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61014279 | WA | Primary |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | AP61014279 | WA |
Addresses
Primary practice location
302 E Pacific Ave
Spokane, WA 99202-1433
Mailing address
302 E Pacific Ave
Spokane, WA 99202-1433
Phone (509) 557-0450
Other practice location 1
4815 N Assembly St
Spokane, WA 99205-6185
Phone (509) 434-7282
Other practice location 2
104 S Freya St, Green, Ste 212
Spokane, WA 99202
Phone (509) 557-0450
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019059147 | Other | ANCC CERTIFICATION | |
| AP61014279 | Other | WA | APRN LICENSURE |
| 2202275 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Cerner | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP61014279 | WA | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayla Rose Cross Bloom Psychiatry | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
104 S Freya St
Ste 212
Spokane, WA 99202
Phone (509) 557-0450
2910 E 57th Ave
Ste 5
Spokane, WA 99223
302 E Pacific Ave
Spokane, WA 99202
Phone (509) 557-0450
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
- NPI 1619680998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1952945339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E PACIFIC AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021433",
"telephone_number": "509-557-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E PACIFIC AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021433",
"telephone_number": "509-557-0450",
"fax_number": "509-757-8981"
}
],
"practiceLocations": [
{
"address_1": "4815 N Assembly St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992056185",
"country_code": "US",
"telephone_number": "509-434-7282",
"fax_number": "509-434-7148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 S Freya St, Green, Ste 212",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "99202",
"country_code": "US",
"telephone_number": "509-557-0450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSS",
"first_name": "KAYLA",
"middle_name": "ROSE",
"credential": "PMH-NP, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61014279",
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "WA",
"license": "AP61014279",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC CERTIFICATION",
"identifier": "2019059147",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSURE",
"identifier": "AP61014279",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2202275",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Cerner",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4815 N Assembly St",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992056185",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.