OrganizationActive
Headspace Parking Lot PLLC
NPI 1295417186 · Psychiatric/Mental Health Nurse Practitioner · Elma, WA
Provider details
- NPI number
- 1295417186
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Chrystal Moore, Pmhnp(757) 323-9104
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
76 Sund Rd
Elma, WA 98541-9119
Phone: (360) 929-0022
Street-level locationGet directions
Mailing address
76 Sund Rd
Elma, WA 98541-9119
Registry dates
- Enumerated
- 2023-08-01
- Last updated
- 2024-11-01
- Certified
- 2024-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.