Creigh Kreinbrink

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

218 S 38TH St
Tacoma, WA 98418-7807

Phone

(206) 313-8840

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Creigh Haring Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1265988158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17005 138TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983746814",
            "telephone_number": "206-313-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S 38TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984187807",
            "telephone_number": "206-313-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREINBRINK",
        "first_name": "CREIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111524501",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CREIGH",
            "last_name": "HARING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Kravitz, RBT
• Don Lee Kreager, LICSW
• Lily Tadayyon Kregenow, MD
• Robert D Kregenow, MD
• Julie L Kreger, DPT, ATC
• Ronald Matthew Kreinbrink, MD
• Peter Kreishman, M.D.
• Karen Kremkau
• Samantha Lyn Krempasky, CRNA
• Alexander Kress, LPC

• Behavior Technician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.