Blossom Behavioral Health LLC
NPI 1932773629 · Psychiatric/Mental Health Nurse Practitioner · Spokane Valley, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blossom Behavioral Health LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Spokane Valley, WA (NPI 1932773629).
Provider details
- NPI number
- 1932773629
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Prince Eti, Manager(713) 992-2200
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-05-17
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Frequently asked questions
- What is Blossom Behavioral Health LLC's NPI number?
- Blossom Behavioral Health LLC's National Provider Identifier (NPI) is 1932773629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Behavioral Health LLC?
- Blossom Behavioral Health LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Blossom Behavioral Health LLC located?
- Blossom Behavioral Health LLC's practice location on file with NPPES is 930 N Mullan Rd Ste 1, Spokane Valley, WA 99206-4004.
- What is Blossom Behavioral Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Blossom Behavioral Health LLC is (509) 694-3135.
- Does Blossom Behavioral Health LLC accept Medicare?
- Blossom Behavioral Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blossom Behavioral Health LLC?
- The authorized official listed on Blossom Behavioral Health LLC's NPPES record is Prince Eti, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Behavioral Health LLC's NPI active?
- Yes — Blossom Behavioral Health LLC's NPI (1932773629) is active in the NPPES registry as of the last update on 2026-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.