Active NPI
Nicanor Robert Garcia III
- Behavior Analyst
- Silverdale, WA
National Provider Identifier
1306248315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 106S00000X
- Practice address
- 3100 NW Bucklin Hill Rd
Ste 215
Silverdale, WA 98383-8358 - Phone
- (360) 337-2222
- Fax
- (360) 850-0211
- NPI assigned
- Sep 22, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 106S00000X | WA | Primary |
| Counselor | 101Y00000X | CG60152904 | WA |
Addresses
Primary practice location
3100 NW Bucklin Hill Rd
Ste 215
Silverdale, WA 98383-8358
Mailing address
3100 NW Bucklin Hill Rd
Ste 215
Silverdale, WA 98383-8358
Phone (360) 337-2222
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 |
|---|---|---|---|
| CG60152904 | WA | MD | Counselor |
| 106S00000X | WA | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1306248315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 NW BUCKLIN HILL RD",
"address_2": "STE 215",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838358",
"telephone_number": "360-337-2222",
"fax_number": "360-850-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 NW BUCKLIN HILL RD",
"address_2": "STE 215",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838358",
"telephone_number": "360-337-2222",
"fax_number": "360-850-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "NICANOR",
"middle_name": "ROBERT",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-22",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "106S00000X",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60152904",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.