Dawn Banke

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

7610 40TH St W Ste 200
University Place, WA 98466-3838

Phone

(253) 830-6242

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perch Behavioral Health

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1487024360
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2022.

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1306336409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 40TH ST W STE 200",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663838",
            "telephone_number": "253-830-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 40TH ST W STE 200",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663838",
            "telephone_number": "253-830-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3704 N 35th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984076033",
            "country_code": "US",
            "telephone_number": "253-312-8909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKE",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayla Bacon
• Destiny Jane Marie Baer
• Valeen Bailey, LMT
• Annabel Balbuena
• Matthew Stanley Baldwin, M.S., CCC-SLP
• Karla Giselle Barajas Lopez
• Elizabeth Michelle Barichio, LMP
• Jennifer Lynn Barnhill
• Alicia Barrett, LMFTA
• Barry a Carlaw PHD Inc

• All providers in University Place, WA
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.