Active NPI
Rebecca Brunk, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1962279596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61648446
- Practice address
- 10604 NE Highway 99
Vancouver, WA 98686-5613 - Phone
- (360) 644-1631
- Fax
- (360) 644-1655
- NPI assigned
- Dec 5, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61318937 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10038388 | OR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61648446 | WA | Primary |
Addresses
Primary practice location
10604 NE Highway 99
Vancouver, WA 98686-5613
Mailing address
10604 NE Highway 99
Vancouver, WA 98686-5613
Phone (360) 644-1631
Other practice location 1
9300 NE Oak View Dr
Vancouver, WA 98662-6157
Phone (360) 567-2211
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61318937 | WA | MD | Registered Nurse |
| 10038388 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61648446 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1962279596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10604 NE HIGHWAY 99",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986865613",
"telephone_number": "360-644-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10604 NE HIGHWAY 99",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986865613",
"telephone_number": "360-644-1631",
"fax_number": "360-644-1655"
}
],
"practiceLocations": [
{
"address_1": "9300 NE Oak View Dr",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986626157",
"country_code": "US",
"telephone_number": "360-567-2211",
"fax_number": "360-567-2212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNK",
"first_name": "REBECCA",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61318937",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10038388",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61648446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.