Active NPI
Dresden Tillman
- Behavior Technician
- Spokane Valley, WA
National Provider Identifier
1093217150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 16-26054
- Practice address
- 300 N Argonne Rd Ste 204
Spokane Valley, WA 99212-2839 - Phone
- (208) 699-2595
- NPI assigned
- Mar 5, 2018
- 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 | 16-26054 | WA | Primary |
Addresses
Primary practice location
300 N Argonne Rd Ste 204
Spokane Valley, WA 99212-2839
Mailing address
300 N Argonne Rd Ste 204
Spokane Valley, WA 99212-2839
Phone (208) 699-2595
Other names 1
- Kristen Tillman
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 |
|---|---|---|---|
| 16-26054 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1093217150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N ARGONNE RD STE 204",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122839",
"telephone_number": "208-699-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N ARGONNE RD STE 204",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122839",
"telephone_number": "208-699-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLMAN",
"first_name": "DRESDEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "16-26054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "TILLMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.