Active NPI
Kelli Vance
- Behavior Analyst
- Olympia, WA
National Provider Identifier
1073945804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- VANCEKS247NZ
- Practice address
- 1800 Cooper Point Rd SW Ste 21
Olympia, WA 98502-1179 - Phone
- (360) 810-1547
- NPI assigned
- Aug 3, 2013
- 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 | VANCEKS247NZ | WA | Primary |
Addresses
Primary practice location
1800 Cooper Point Rd SW Ste 21
Olympia, WA 98502-1179
Mailing address
PO Box 6286
Olympia, WA 98507-6286
Phone (360) 810-1547
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 |
|---|---|---|---|
| VANCEKS247NZ | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1073945804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6286",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985076286",
"telephone_number": "360-810-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 COOPER POINT RD SW STE 21",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985021179",
"telephone_number": "360-810-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "KELLI",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-03",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "VANCEKS247NZ",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.