Active NPI
Kaitlyn Armbruster
- Behavior Technician
- Tacoma, WA
National Provider Identifier
1134710726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB61125641
- Practice address
- 12180 Park Ave S
Tacoma, WA 98447-0001 - Phone
- (951) 306-6412
- NPI assigned
- Jan 27, 2021
- Last updated
- Jan 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CB61125641 | WA | Primary |
Addresses
Primary practice location
12180 Park Ave S
Tacoma, WA 98447-0001
Mailing address
268 Bush St Ste 3039
San Francisco, CA 94104-3503
Phone (888) 362-3970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-146236 | Other | RBT |
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 |
|---|---|---|---|
| CB61125641 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1134710726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 BUSH ST STE 3039",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941043503",
"telephone_number": "888-362-3970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12180 PARK AVE S",
"city": "TACOMA",
"state": "WA",
"postal_code": "984470001",
"telephone_number": "951-306-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMBRUSTER",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB61125641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-20-146236",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.