Brittney K Wangelin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

432 NE Tohomish St
White Salmon, WA 98672-1940

Phone

(509) 575-4084

NPI assigned

Feb 27, 2018

Last updated

Jan 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia River Gorge Behavior Services, LLC

  dba Gorge Behavior Solutions

  • Behavior Analyst
  • White Salmon, WA
  • NPI 1154835841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1215438916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 NE TOHOMISH ST",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721940",
            "telephone_number": "509-575-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGELIN",
        "first_name": "BRITTNEY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-18-48871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Tedford, FNP-C
• Trinity Natural Medicine, LLC. (White Salmon Apothecary)
• Michelle Ubell, L AC
• Chardonnay Vance, MD PHD
• W. Curtis Mathisen D.D.S.
• Tessa Waterbury Wallace, LCSW
• Miranda Welch, D.A.O.M, L.AC,
• Wellness LLC
• White Salmon Acupuncture LLP
• White Salmon Family Practice Clinic

• Case Manager/Care Coordinator in White Salmon, WA
• Providers in White Salmon, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.

Verify at the official NPI Registry.