Individual provider Active NPI

Allison Lingbloom, B.A.

  • Behavior Analyst
  • Seattle, WA
National Provider Identifier
1104164870
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
13525 32ND Ave NE Ste a
Seattle, WA 98125-8613
Phone
(206) 365-0809
Fax
(206) 365-0872
NPI assigned
Jan 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X WA Primary

Addresses

Primary practice location

13525 32ND Ave NE Ste a
Seattle, WA 98125-8613

Mailing address

730 Poplar Dr
Bellingham, WA 98226-4410
Phone (360) 303-3654

Other identifiers 1

IdentifierTypeStateIssuer
CG60174649MedicaidWA

Other names 1

  • Ms. Allison Newland Former name

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
Credentials
Bachelor of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1104164870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 POPLAR DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982264410",
            "telephone_number": "360-303-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13525 32ND AVE NE STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258613",
            "telephone_number": "206-365-0809",
            "fax_number": "206-365-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGBLOOM",
        "first_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CG60174649",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "NEWLAND",
            "prefix": "MS.",
            "credential": "B.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.