Active NPI
Dominic Michael Stamerra
- Behavior Technician
- Lakewood, WA
National Provider Identifier
1205451713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4606 108TH St SW
Lakewood, WA 98499-4146 - Phone
- (253) 693-2626
- Fax
- (253) 302-4323
- NPI assigned
- Jun 10, 2020
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
4606 108TH St SW
Lakewood, WA 98499-4146
Mailing address
4606 108TH St SW
Lakewood, WA 98499-4146
Phone (253) 693-2626
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 |
|---|---|---|---|
| Ame Higher LLC | Current | Accepting new patients |
Locations
4606 108th St SW
Lakewood, WA 98499
Phone (253) 693-2626
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.
-
- Behavior Analyst
- Lakewood, WA
- NPI 1083263735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1205451713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 108TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994146",
"telephone_number": "253-693-2626",
"fax_number": "253-302-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 108TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984994146",
"telephone_number": "253-693-2626",
"fax_number": "253-302-4323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMERRA",
"first_name": "DOMINIC",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.