Active NPI
Alexis Anna Ross
- Behavior Technician
- Bremerton, WA
National Provider Identifier
1225884950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 837 Callahan Dr
Bremerton, WA 98310-3368 - Phone
- (360) 240-0022
- NPI assigned
- Apr 24, 2024
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NC61398659 | WA | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
837 Callahan Dr
Bremerton, WA 98310-3368
Mailing address
5453 Steilacoom Blvd SW Apt 37
Lakewood, WA 98499-3100
Phone (253) 370-2949
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC61398659 | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1225884950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5453 STEILACOOM BLVD SW APT 37",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993100",
"telephone_number": "253-370-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 CALLAHAN DR",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103368",
"telephone_number": "360-240-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ALEXIS",
"middle_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-24",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "NC61398659",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.