Active NPI
Jenelle Lynn Ashmore
- Behavior Technician
- Issaquah, WA
National Provider Identifier
1275026577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-36067
- Practice address
- 22526 SE 64TH PL Ste 210
Issaquah, WA 98027-5368 - Phone
- (190) 999-3404
- NPI assigned
- Jun 11, 2018
- Last updated
- Jun 11, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-36067 | WA | Primary |
Addresses
Primary practice location
22526 SE 64TH PL Ste 210
Issaquah, WA 98027-5368
Mailing address
PO Box 451
Buckley, WA 98321-0451
Phone (909) 993-4043
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 |
|---|---|---|---|
| RBT-17-36067 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1275026577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 451",
"city": "BUCKLEY",
"state": "WA",
"postal_code": "983210451",
"telephone_number": "909-993-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22526 SE 64TH PL STE 210",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275368",
"telephone_number": "190-999-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHMORE",
"first_name": "JENELLE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "RBT-17-36067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.