Healthcare Provider Details

I. General information

NPI: 1336725332
Provider Name (Legal Business Name): KELLY ERICA LAPOINTE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2021
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3707 W 11TH ST
ANACORTES WA
98221-4533
US

IV. Provider business mailing address

3707 W 11TH ST
ANACORTES WA
98221-4533
US

V. Phone/Fax

Practice location:
  • Phone: 970-239-3622
  • Fax: 949-561-5829
Mailing address:
  • Phone: 970-689-4620
  • Fax: 949-561-5829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0996389-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRXN.0105500
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberRXN.0105500
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: