Kirsten Elise Smock

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3214 W McGraw St Ste 212
Seattle, WA 98199-3239

Phone

(206) 453-4882

NPI assigned

Jun 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1306226014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 19TH AVE E",
            "address_2": "APARTMENT 3",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981126322",
            "telephone_number": "253-355-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 W MCGRAW ST STE 212",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993239",
            "telephone_number": "206-453-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOCK",
        "first_name": "KIRSTEN",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Lee Smith
• Matthew Langston Smitherman, MD
• Regina Smithrud, MA
• Callie M Smithson, D.D.S.
• Kyle Andrew Smits, DDS
• Jenny Smokey
• Greg Joseph Smolarz II, SUDPT
• Katharine Anna Smolinski, DO
• Stephanie Smolinski
• Elizabeth S Smoots, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.