Active NPI
Blayne D Stemple
- Behavior Analyst
- Seattle, WA
National Provider Identifier
1083141253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA60906696
- Practice address
- 4909 25TH Ave NE
Seattle, WA 98105-4107 - Phone
- (206) 987-8080
- NPI assigned
- May 17, 2017
- Sex
- Male
- 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 | BA60906696 | WA | Primary |
Addresses
Primary practice location
4909 25TH Ave NE
Seattle, WA 98105-4107
Mailing address
14120 NE 183Rd St Unit 313
Woodinville, WA 98072-7073
Phone (479) 422-7396
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 |
|---|---|---|---|
| BA60906696 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1083141253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14120 NE 183RD ST UNIT 313",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980727073",
"telephone_number": "479-422-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 25TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981054107",
"telephone_number": "206-987-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEMPLE",
"first_name": "BLAYNE",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "BA60906696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.