Active NPI
Samantha Haley Burton Caskey
- Behavior Technician
- Kirkland, WA
National Provider Identifier
1134615446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB60893736
- Practice address
- 1003 7TH Ave
Ste a
Kirkland, WA 98033 - Phone
- (425) 658-3016
- Fax
- (425) 658-3017
- NPI assigned
- Jul 10, 2018
- Last updated
- Mar 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | ||
| Behavior Technician | 106S00000X | CB60893736 | WA | Primary |
Addresses
Primary practice location
1003 7TH Ave
Ste a
Kirkland, WA 98033
Mailing address
1003 7TH Ave
Ste a
Kirkland, WA 98033
Phone (425) 658-3016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111488 | Medicaid | WA |
Other names 1
- Samantha Hayley Burton
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 |
|---|---|---|---|
| CB60893736 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cbpi, LLC. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1134615446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 7TH AVE",
"address_2": "STE A",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "425-658-3016",
"fax_number": "425-658-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 7TH AVE",
"address_2": "STE A",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "425-658-3016",
"fax_number": "425-658-3017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASKEY",
"first_name": "SAMANTHA",
"middle_name": "HALEY BURTON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB60893736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2111488",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "BURTON",
"middle_name": "HAYLEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kirkland, WA
- Cascade Cancer Centers of Washington
- Cascade Medical Investors Limited Partnership (Lake Vue Gardens)
- Cascade Natural Medicine
- Kristina Grace Casel, APRN
- Whitney Lynn Cash, LMHC
- John Sterling Cassel, ROLFER
- Esmeralda Christina Castillo
- Genna Marie Castillo
- Luis Daniel Castillo
- Allie Brooke Casto, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.