Active NPI
Kelsey Lebard
- Behavior Analyst
- Bellingham, WA
National Provider Identifier
1043753445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1616 Cornwall Ave
Suite 100
Bellingham, WA 98225-4648 - Phone
- (425) 273-0129
- NPI assigned
- Dec 2, 2016
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1616 Cornwall Ave
Suite 100
Bellingham, WA 98225-4648
Mailing address
1616 Cornwall Ave
Suite 100
Bellingham, WA 98225-4648
Phone (425) 273-0129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG60715119 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1043753445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CORNWALL AVE",
"address_2": "SUITE 100",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254648",
"telephone_number": "425-273-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 CORNWALL AVE",
"address_2": "SUITE 100",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254648",
"telephone_number": "425-273-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBARD",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CG60715119",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.