Active NPI
Karl Joseph Kiggundu
- Behavior Technician
- Lynnwood, WA
National Provider Identifier
1194573360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 19401 40TH Ave W Ste 100
Lynnwood, WA 98036-5600 - Phone
- (425) 309-0954
- NPI assigned
- May 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
19401 40TH Ave W Ste 100
Lynnwood, WA 98036-5600
Mailing address
128 127TH St SE Unit B303
Everett, WA 98208-5135
Phone (240) 639-9444
Other names 1
- Karl Joseph Kiggundu
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": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1194573360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 127TH ST SE UNIT B303",
"city": "EVERETT",
"state": "WA",
"postal_code": "982085135",
"telephone_number": "240-639-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 40TH AVE W STE 100",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365600",
"telephone_number": "425-309-0954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIGGUNDU",
"first_name": "KARL",
"middle_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-10",
"last_updated": "2024-05-10",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARL",
"last_name": "KIGGUNDU",
"middle_name": "JOSEPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.