Healthcare Provider Details

I. General information

NPI: 1467308072
Provider Name (Legal Business Name): EVEREST MINDWELL PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33305 1ST WAY S STE B212
FEDERAL WAY WA
98003-4554
US

IV. Provider business mailing address

522 W RIVERSIDE AVE STE 8594
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 509-210-5520
  • Fax: 509-210-5521
Mailing address:
  • Phone: 509-210-5520
  • Fax: 509-210-5521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NIKITA DHUNGEL
Title or Position: OWNER
Credential:
Phone: 509-210-5520