Active NPI
Peter Shipley
- Behavior Analyst
- Seattle, WA
National Provider Identifier
1174072375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-23445
- Practice address
- 936 N 34TH St
Suite 400
Seattle, WA 98103-8869 - Phone
- (206) 494-4714
- NPI assigned
- Sep 28, 2016
- Sex
- Male
- 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 Analyst | 103K00000X | 1-16-23445 | WA | Primary |
Addresses
Primary practice location
936 N 34TH St
Suite 400
Seattle, WA 98103-8869
Mailing address
936 N 34TH St
Suite 400
Seattle, WA 98103-8869
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1174072375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 N 34TH ST",
"address_2": "SUITE 400",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 N 34TH ST",
"address_2": "SUITE 400",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038869",
"telephone_number": "206-494-4714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPLEY",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-28",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "1-16-23445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.