Christine Pebbles
Sparks,NV
Summary
Knowledgeable Psychiatric Mental Health Nurse Practitioner with a solid foundation in psychiatric care. Proven history of delivering compassionate and comprehensive mental health services to diverse patient populations. Demonstrated expertise in patient assessment and individualized care planning.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Psychiatric-Mental Health Nurse Practitioner Contractor
STATE DEPARTMENT OF HEALTH POLICY AND FINANCE
01.2025 - Current
- Clinical Advisor for the State Department of Health Policy and Finance division working on improving access to mental health care for the pediatric population covered under State sponsored insurance by working with State teams and stakeholders. Part time position, 10-15 hours a week.
- I have practiced in this setting and have engaged in collaboration with other primary care, mental health, and specialty care professionals within the local community to optimize access to mental health care for the pediatric population covered under state sponsored plans.
Psychiatric-Mental Health Nurse Practitioner and Owner
PEBBLES PSYCHIATRY LLC
09.2020 - Current
- Psychiatric Nurse Practitioner and owner of a private practice that treats all ages but specializes in the pediatric population. I specialize in ADHD treatment but also conducting autism assessments, such as the CARS.
- I employ the use of advanced clinical judgment to independently provide evidence-based treatment to patients with acute and chronic mental illness including use of psychotropic medications, psychotherapy, and other appropriate modalities.
- I prioritize patient and family education related to medical and mental health conditions, possible preventive measures, and all prescribed treatments.
- Optimization of patient care, which includes ordering and interpreting labs, tests, and diagnostic studies, when appropriate.
Medical Director and Psychiatric-Mental Health Nurse Practitioner
BRISTLECONE FAMILY SERVICES
01.2024 - 11.2025
- Psychiatric Nurse Practitioner and Medical Director caring for outpatient, residential, and transitional living patients suffering from addictions. Supervision of medical staff such as medical assistants and mental health technicians. Assessment and modification of medical policies and procedures.
- I extensively counseled and treated patients with substance use disorders to optimize care and meet patient goals, which included Medication Assisted Treatment (MAT), psychotherapy, and supportive care.
- I strived to optimize patient care, which included ordering and interpreting labs, tests, and diagnostic studies, when appropriate. The latter also included reports to the Health Department as appropriate and when needed for communicable illness as well as referrals to specialty care when necessary.
- I improved patient screening, admission process, residential and inpatient care; and collaboration of care between departments.
- I endeavored to train employed mental health technicians on proper procedures related to monitoring vital signs and treatment supervision.
Psychiatric-Mental Health Nurse Practitioner Contractor
HEALTHY MINDS/NEVADA MENTAL HEALTH
01.2023 - 05.2025
- Psychiatric Nurse Practitioner working on a contract basis part time, caring for patients of all ages, including pediatric patients within the foster care system in Las Vegas.
- Working with multiple entities to care for patients, including CAP attorneys, CASA workers, social workers, and case managers to maximize patient outcomes.
- Served as an advocate for patients ensuring their needs and concerns were addressed, while maintaining confidentiality and dignity of the patient.
Psychiatric-Mental Health Nurse Practitioner Contractor
STATE OF NEVADA RURAL CLINICS
10.2022 - 01.2024
- Psychiatric Nurse Practitioner, part time, for the State of Nevada Rural Clinics treating pediatric patients in rural and frontier areas of Nevada via telehealth in cities such as Elko, Ely, Tonopah, Caliente, Fernley, and Battle Mountain.
- I prioritized quality care, collaboration with families, patients, outside providers, the school districts, and the proper county or government entities to improve treatment outcomes and overall patient functioning.
Psychiatric-Mental Health Nurse Practitioner
CARSON TAHOE BEHAVIORAL HEALTH SERVICES
05.2022 - 12.2022
- Psychiatric Nurse Practitioner rotating through outpatient clinic caring for patients of all ages.
- I worked, on a rotational basis, in the psychiatric emergency room known as Mallory Crisis Center caring for adults 18 years and older; which included substance use withdrawal management, emergency acute care for patients brought in by ambulance, law enforcement, or via walk-ins.
- I also worked, on a rotational basis, fulfilling psychiatric consultation requests at the main Regional Medical Center in multiple departments including the emergency room, ICU, pediatrics, telemetry, oncology, medical surgical, etc.
- I executed and verified countless mental health holds optimizing patient safety and long-term outcomes.
- I supervised students during my time at Carson Tahoe, ensuring they received a wholistic view of mental health at many different acuity levels to improve their overall education.
Psychiatric-Mental Health Nurse Practitioner
JAN EVANS JUVENILE DETENTION CENTER
02.2021 - 12.2021
- Psychiatric Nurse Practitioner contractor, one day a week, providing psychiatric diagnosis, assessment, treatment, and medication management for children and adolescents incarcerated at the facility.
- I endeavored to ensure patient outcomes were optimized by collaborating with outside providers, ordering and interpretation of laboratory testing; communication with medical staff, probation officers, supervisors, Family Nurse Practitioner on site, and parents of inmates.
Psychiatric-Mental Health Nurse Practitioner
ALTA VISTA MENTAL HEALTH
12.2020 - 04.2021
- Part-time Psychiatric Nurse Practitioner contractor (two days a week) for a private practice providing psychiatric diagnosis, assessment, treatment, and medication management for adults.
- During my time at Alta Vista, I took the initiative to assist with the execution of vital sign monitoring, administration of needed long acting injectables, and optimizing laboratory and imaging studies to improve outcomes when staff shortages presented themselves.
- My average daily patient load was 14-18 visits with the average inclusion of 2-4 new intakes a day.
Psychiatric-Mental Health Nurse Practitioner
TRUE NORTH TREATMENT CENTER
09.2020 - 02.2021
- Part-time Psychiatric Nurse Practitioner contractor (one day a week) for a private practice providing psychiatric diagnosis, assessment, treatment, and medication management for children, adolescents, and young adults.
- I collaborated with employed therapists to optimize care and was solely responsible for vital sign collection, communication with pharmacies and insurance companies, prior authorizations for medications, and creation of my own EHR templates to optimize documentation.
Psychiatric Registered Nurse
CARSON TAHOE BEHAVIORAL HEALTH SERVICES
01.2020 - 09.2020
- Registered Nurse for the Assertive Community Treatment (ACT) program. Responsible for 35 clients. Duties include medication management, medical management, and care coordination; collaboration with community providers, laboratory and imaging monitoring; coordination and monitoring of acute/emergency care; ongoing physical assessment, education, health screening, and general team support. Care is provided both in an outpatient setting and in the community.
Medical-Surgical Registered Nurse
NORTHERN NEVADA MEDICAL CENTRE
07.2017 - 10.2018
- Registered Nurse on the Medical-Surgical floor, which also included Orthopedics and Rehabilitation. I also served briefly as a Charge Nurse and Telemetry Float Nurse. Received multiple commendations for outstanding performance in patient care from administration, patients, and providers. I left this position to complete my doctorate degree.
Education
Post Master's Certification - Family Nurse Practitioner
UNIVERSITY OF NEVADA-RENO
RENO, NV08.2025
Doctor of Nursing Practice (D.N.P.) - Psychiatric-Mental Health Nurse Practitioner
UNIVERSITY OF NEVADA-RENO
RENO, NV05.2020
Bachelor of Science of Nursing (B.S.N.) - undefined
UNIVERSITY OF NEVADA-RENO
RENO, NV05.2017
Skills
- Medication management
- Psychiatric evaluation
- Psychotherapy techniques
- Outpatient mental health services
- Inpatient psychiatric care
- Substance abuse treatment
- Child and adolescent psychiatry
- Autism spectrum disorders
Certification
- Registered Nurse, Nevada License #RN94789 & APRN-CNP, NV License #832695
- ANCC PMHNP Certification #2020014614
- AHA BLS certified
- CPI Non-Violent Crisis Intervention certification
- CBT Essentials Certified.
- Integrative care for ADHD and use of nutritional Lithium for mood disorders.
Preceptorships
- Western Governors University, Salt Lake City, UT
- Herzing University, Milwaukee, WI
- Purdue Global University, West Lafayette, IN
- University of Nevada, Reno, NV
- Touro University, Las Vegas, NV
Doctoral Thesis
Cyberbullying and Mental Health systematic review and implementation of intervention consisting of a Cyber-Safety Training for Parents, which is a series of four YouTube videos providing parental training regarding cyber-safety and cyber-bullying prevention, detection, response, and resources.
Timeline
Psychiatric-Mental Health Nurse Practitioner Contractor
STATE DEPARTMENT OF HEALTH POLICY AND FINANCE
01.2025 - Current
Medical Director and Psychiatric-Mental Health Nurse Practitioner
BRISTLECONE FAMILY SERVICES
01.2024 - 11.2025
Psychiatric-Mental Health Nurse Practitioner Contractor
HEALTHY MINDS/NEVADA MENTAL HEALTH
01.2023 - 05.2025
Psychiatric-Mental Health Nurse Practitioner Contractor
STATE OF NEVADA RURAL CLINICS
10.2022 - 01.2024
Psychiatric-Mental Health Nurse Practitioner
CARSON TAHOE BEHAVIORAL HEALTH SERVICES
05.2022 - 12.2022
Psychiatric-Mental Health Nurse Practitioner
JAN EVANS JUVENILE DETENTION CENTER
02.2021 - 12.2021
Psychiatric-Mental Health Nurse Practitioner
ALTA VISTA MENTAL HEALTH
12.2020 - 04.2021
Psychiatric-Mental Health Nurse Practitioner and Owner
PEBBLES PSYCHIATRY LLC
09.2020 - Current
Psychiatric-Mental Health Nurse Practitioner
TRUE NORTH TREATMENT CENTER
09.2020 - 02.2021
Psychiatric Registered Nurse
CARSON TAHOE BEHAVIORAL HEALTH SERVICES
01.2020 - 09.2020
Medical-Surgical Registered Nurse
NORTHERN NEVADA MEDICAL CENTRE
07.2017 - 10.2018
Doctor of Nursing Practice (D.N.P.) - Psychiatric-Mental Health Nurse Practitioner
UNIVERSITY OF NEVADA-RENO
Bachelor of Science of Nursing (B.S.N.) - undefined
UNIVERSITY OF NEVADA-RENO
Post Master's Certification - Family Nurse Practitioner
UNIVERSITY OF NEVADA-RENO
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