Vivian Kisanga is a Puyallup, Washington based nurse practitioner with 9 years of experience in Psych/Mental Health. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Vivian Kisanga is AP61183787 for Psych/Mental Health in Washington. Her current practice location is 18715 106th Avenue Ct E, Puyallup. Patients can reach her at 206-759-0207. Vivian Kisanga is PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1821530155. Vivian Kisanga provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Vivian Kisanga speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Vivian Kisanga
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
PMHNP-BC
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Accepts Medicare Assignment:
Yes
Practice Address:
18715 106th Avenue Ct E, Puyallup, Washington, 98374-8735
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1456632447
Enrollment ID:
I20220310002411
NPI Number:
1821530155
NPI Enumeration Date:
17 Nov, 2016
NPI Last Update On:
25 Aug, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vivian Kisanga are as mentioned below.
License Number
Specialization
State
Status
AP61183787
Psych/Mental Health
Washington
Primary
AP132350
Psych/Mental Health
Texas
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Vivian Kisanga is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mindful Support Services Inc (4981872561)
137
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Vivian Kisanga 18715 106th Avenue Ct E Ste 260, Puyallup, Washington
Zip:
98374-8735
Phone Number:
817-657-5107
Patients can reach Vivian Kisanga at 18715 106th Avenue Ct E, Puyallup, Washington or can call to book an appointment on 206-759-0207.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.