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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC
NPI 1669158879
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA

Active since June 22, 2023
4803 FREMONT AVE N, SEATTLE, WA 98103(855) 444-7258 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2026, Nov 26, 2025, Feb 3, 2025 and 2 more (5 updates tracked since 2023).

About Moonshot Psychiatric Nurse Practitioner Pc NPPES

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

MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC (NPI 1669158879) is a healthcare organization registered as a psychiatric/mental health in Seattle, Washington and active in the NPI registry since June 2023. The organization maintains 23 additional practice locations and lists Brighid Gannon, Co-founder, as its authorized official.

NPPES Registry Identity

NPI1669158879
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC
Location Address4803 FREMONT AVE NSeattle, WA 98103-6527
Mailing Address22406 68th Ave WMountlake Terrace, WA 98043-2372
Phone(855) 444-7258
Organization SubpartNo
Authorized OfficialBrighid GannonCo-founder · (855) 444-7258
Enumeration DateJune 22, 2023
Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1669158879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4803 FREMONT AVE N, Seattle, WA 98103
Open in Google Maps ↗

Secondary Practice Locations 23

Location 11 Research Ct Ste 450Rockville, MD 20850-6252 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 2755 W Big Beaver Rd Ste 2020Troy, MI 48084-4925 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 33815 River Crossing Pkwy Ste 100Indianapolis, IN 46240-7766 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 41040 Monarch StLexington, KY 40513-1852 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 56000 Poplar Ave Ste 250Memphis, TN 38119-3974 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 65000 Centre Green Way Ste 500Cary, NC 27513-5821 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 71775 I St NW Ste 1150Washington, DC 20006-2435 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 821 E State St Ste 200Columbus, OH 43215-0109 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 910 Dorrance St Ste 700Providence, RI 02903-2014 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 10333 Texas St Ste 1300Shreveport, LA 71101-3783 · Phone (855) 444-7258 · Fax (877) 261-8495
Location 1118-20 Lackawanna Plz Ste 300Montclair, NJ 07042-3642 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 1277 Franklin St Ste 809Boston, MA 02110-1508 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 133456 SE Harold CtPortland, OR 97202-4342 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 14661 W Lake St Ste 2SChicago, IL 60661-1034 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 153140 E Viking RdLas Vegas, NV 89121-4316 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 162820 NE 214th StAventura, FL 33180-1268 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 173455 Peachtree Rd NE Fl 5Atlanta, GA 30326-3254 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 181045 Elm StManchester, NH 03101-1821 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 1911325 Random Hills Rd Ste 360Fairfax, VA 22030-0972 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 20777 W Putnam Ave Ste 300Greenwich, CT 06830-5000 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 211700 Market St Ste 1005Philadelphia, PA 19103-3920 · Phone (855) 444-7258 · Fax (855) 344-8343
Location 22500 Ala Moana Blvd Ste 7400Honolulu, HI 96813-4902 · Phone (855) 444-7258
Location 23900 Trail Ridge Rd Fl 1Aiken, SC 29803-7765 · Phone (855) 444-7258

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of NC and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVOLVE PSYCHIATRY PC
Nurse Practitioner (Psychiatric/Mental Health)
4803 FREMONT AVE N
SEATTLE, WA 98103
King County (855) 444-7258
HONORINE NCHUO BETAH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4803 FREMONT AVE N
SEATTLE, WA 98103
King County (855) 444-7258
ANETA E MERLINO LMFT
Marriage & Family Therapist
4803 FREMONT AVE N
SEATTLE, WA 98103
King County (206) 705-6617
LYDIA DAKE LICSW
Social Worker (Clinical)
4803 FREMONT AVE N
SEATTLE, WA 98103
King County (206) 486-5258

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 Moonshot Psychiatric Nurse Practitioner PC's NPI number?

The NPI number for Moonshot Psychiatric Nurse Practitioner PC is 1669158879. It was assigned to this organization in the NPPES registry on June 22, 2023.

Where is Moonshot Psychiatric Nurse Practitioner PC located?

Moonshot Psychiatric Nurse Practitioner PC is located at 4803 Fremont Ave N, Seattle, WA 98103. The listed phone number is (855) 444-7258.

What is Moonshot Psychiatric Nurse Practitioner PC's specialty?

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

What insurance does Moonshot Psychiatric Nurse Practitioner PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of NC, BridgeSpan Health Company and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Moonshot Psychiatric Nurse Practitioner PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moonshot Psychiatric Nurse Practitioner PC was last updated on July 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.