Active NPI
Simone Marcella Relyea
- Behavior Technician
- Auburn, WA
National Provider Identifier
1164065009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1345 22ND St NE
Auburn, WA 98002-3442 - Phone
- (253) 833-5908
- NPI assigned
- Oct 23, 2019
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | WA | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1345 22ND St NE
Auburn, WA 98002-3442
Mailing address
8811 S Tacoma Way Ste And206
Lakewood, WA 98499-4595
Phone (253) 682-0320
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Simoner@Childhaven.org | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Home Society of Washington | Past | Accepting new patients |
Interoperability endpoints
- simoner@childhaven.org
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1366565418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1164065009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 S TACOMA WAY STE AND206",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994595",
"telephone_number": "253-682-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 22ND ST NE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980023442",
"telephone_number": "253-833-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELYEA",
"first_name": "SIMONE",
"middle_name": "MARCELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Simoner@Childhaven.org",
"affiliation": "N",
"endpointDescription": "secure work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1345 22nd St NE",
"city": "Auburn",
"state": "WA",
"country_code": "US",
"postal_code": "980023442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.