Individual provider Active NPI

Kayla Rose Cross, PMH-NP, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1952945339
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61014279 Issued in WA
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

Updated by the provider on Jun 2, 2025

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 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

IdentifierTypeStateIssuer
2019059147OtherANCC CERTIFICATION
AP61014279OtherWAAPRN LICENSURE
2202275MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
AP61014279WAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kayla Rose Cross Bloom Psychiatry Psychiatric/Mental Health CurrentSince Aug 1, 2023 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.

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.

Verify at the official NPI Registry.