Active NPI
Kelly McGirk
- Behavior Technician
- Spokane, WA
National Provider Identifier
1043053515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB61507543
- Practice address
- 1722 E Sprague Ave Ste 214
Spokane, WA 99202-3109 - Phone
- (509) 960-5916
- NPI assigned
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CB61507543 | WA | Primary |
Addresses
Primary practice location
1722 E Sprague Ave Ste 214
Spokane, WA 99202-3109
Mailing address
2418 E Canter LN
Deer Park, WA 99006-8167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB61507543 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1043053515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 E CANTER LN",
"city": "DEER PARK",
"state": "WA",
"postal_code": "990068167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 E SPRAGUE AVE STE 214",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992023109",
"telephone_number": "509-960-5916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGIRK",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-13",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB61507543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.