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HEADSPACE PARKING LOT PLLC
NPI 1295417186
Nurse Practitioner - Psychiatric/Mental Health in Elma, WA

Active since August 01, 2023

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Headspace Parking Lot Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEADSPACE PARKING LOT PLLC (NPI 1295417186) is a healthcare organization registered as a psychiatric/mental health in Elma, Washington and active in the NPI registry since August 2023. The organization lists Chrystal G Moore, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1295417186
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEADSPACE PARKING LOT PLLC
Location Address76 SUND RDElma, WA 98541-9119
Mailing Address76 Sund RdElma, WA 98541-9119 · (360) 929-0022
Phone(360) 929-0022
Organization SubpartNo
Authorized OfficialChrystal G MoorePmhnp · (757) 323-9104
Enumeration DateAugust 1, 2023
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1295417186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
76 SUND RD, Elma, WA 98541
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Headspace Parking Lot PLLC's NPI number?

The NPI number for Headspace Parking Lot PLLC is 1295417186. It was assigned to this organization in the NPPES registry on August 1, 2023.

Where is Headspace Parking Lot PLLC located?

Headspace Parking Lot PLLC is located at 76 Sund Rd, Elma, WA 98541. The listed phone number is (360) 929-0022.

What is Headspace Parking Lot PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Headspace Parking Lot PLLC was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.