Active NPI
Karen A Mills
- Behavior Technician
- Federal Way, WA
National Provider Identifier
1043957848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 720 S 333Rd St Ste 130
Federal Way, WA 98003-7357 - Phone
- (253) 449-0026
- NPI assigned
- May 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
720 S 333Rd St Ste 130
Federal Way, WA 98003-7357
Mailing address
21502 148TH St E
Bonney Lake, WA 98391-7507
Phone (142) 524-4346
Other practice location 1
21502 148th St E
Bonney Lake, WA 98391-7507
Phone (425) 244-3462
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kmills@caravelautism.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagine Behavioral & Developmental Services | Past | Accepting new patients |
Interoperability endpoints
- kmills@caravelautism.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Spokane, WA
- NPI 1619211042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1043957848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21502 148TH ST E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983917507",
"telephone_number": "142-524-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 S 333RD ST STE 130",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037357",
"telephone_number": "253-449-0026"
}
],
"practiceLocations": [
{
"address_1": "21502 148th St E",
"address_purpose": "LOCATION",
"city": "Bonney Lake",
"state": "WA",
"postal_code": "983917507",
"country_code": "US",
"telephone_number": "425-244-3462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLS",
"first_name": "KAREN",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-13",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kmills@caravelautism.com",
"affiliation": "N",
"address_1": "21502 148th St E",
"city": "Bonney Lake",
"state": "WA",
"country_code": "US",
"postal_code": "983917507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.