MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC
NPI 1669158879
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA
NPI Status: Active since June 22, 2023
Contact Information
4803 FREMONT AVE N
SEATTLE, WA
ZIP 98103
Phone: (855) 444-7258
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
About MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC
This page provides the complete NPI Profile along with additional information for Moonshot Psychiatric Nurse Practitioner Pc, a provider established in Seattle, Washington operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1669158879 assigned on June 2023. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. Moonshot Psychiatric Nurse Practitioner Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brighid Gannon (Co-founder)
- NPI
- 1669158879
- Provider Name
- MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC
- Entity Type
- Organization
- Location Address
- 4803 FREMONT AVE N SEATTLE, WA 98103
- Location Phone
- (855) 444-7258
- Mailing Address
- 22406 68TH AVE W MOUNTLAKE TERRACE, WA 98043
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2023
- Last Update Date
- 11-26-2025
- Code Navigator
A nurse practitioner (NP) like Moonshot Psychiatric Nurse Practitioner Pc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 1700 Market St Ste 1005
Philadelphia, PA 19103
(855) 444-7258 - 777 W Putnam Ave Ste 300
Greenwich, CT 06830
(855) 444-7258 - 11325 Random Hills Rd Ste 360
Fairfax, VA 22030
(855) 444-7258 - 1045 Elm St
Manchester, NH 03101
(855) 444-7258 - 3455 Peachtree Rd NE Fl 5
Atlanta, GA 30326
(855) 444-7258 - 2820 NE 214th St
Aventura, FL 33180
(855) 444-7258 - 3456 SE Harold Ct
Portland, OR 97202
(855) 444-7258 - 661 W Lake St Ste 2S
Chicago, IL 60661
(855) 444-7258 - 1 Research Ct Ste 450
Rockville, MD 20850
(855) 444-7258 - 755 W Big Beaver Rd Ste 2020
Troy, MI 48084
(855) 444-7258 - 3815 River Crossing Pkwy Ste 100
Indianapolis, IN 46240
(855) 444-7258 - 1040 Monarch St
Lexington, KY 40513
(855) 444-7258 - 6000 Poplar Ave Ste 250
Memphis, TN 38119
(855) 444-7258 - 5000 Centre Green Way Ste 500
Cary, NC 27513
(855) 444-7258 - 1775 I St NW Ste 1150
Washington, DC 20006
(855) 444-7258 - 21 E State St Ste 200
Columbus, OH 43215
(855) 444-7258 - 10 Dorrance St Ste 700
Providence, RI 02903
(855) 444-7258 - 333 Texas St Ste 1300
Shreveport, LA 71101
(855) 444-7258 - 18-20 Lackawanna Plz Ste 300
Montclair, NJ 07042
(855) 444-7258 - 77 Franklin St Ste 809
Boston, MA 02110
(855) 444-7258 - 3140 E Viking Rd
Las Vegas, NV 89121
(855) 444-7258
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-06 (Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-05 (Rewards) - POS
- BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-18 (Rewards) - POS
- BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669158879, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SEATTLE, WA 98103
SEATTLE, WA 98103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669158879, enumerated as an "organization" on June 22, 2023.
The provider is located at 4803 FREMONT AVE N SEATTLE, WA 98103 and the phone number is (855) 444-7258.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Care. Please consult your insurance carrier or call the provider to verify.
