Individual provider Active NPI

Nancy Lynn Hamilton, MS, BCBA, LMHCA

  • Behavior Analyst
  • Bremerton, WA
National Provider Identifier
1346487048
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-08-4654
Practice address
1310 NE Crystal Peak LN
#Dd201
Bremerton, WA 98311-6840
Phone
(360) 731-7728
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-08-4654 Primary

Addresses

Primary practice location

1310 NE Crystal Peak LN
#Dd201
Bremerton, WA 98311-6840

Mailing address

1310 NE Crystal Peak LN
#Dd201
Bremerton, WA 98311-6840
Phone (360) 731-7728

Other identifiers 2

IdentifierTypeStateIssuer
1-08-4654OtherBOARD CERTIFIED BEHAVIOR ANALYST
MC60141971OtherWADEPARTMENT OF HEALTH

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1346487048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 NE CRYSTAL PEAK LN",
            "address_2": "#DD201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983116840",
            "telephone_number": "360-731-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NE CRYSTAL PEAK LN",
            "address_2": "#DD201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983116840",
            "telephone_number": "360-731-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "credential": "MS, BCBA, LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-08-4654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST",
            "identifier": "1-08-4654",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "MC60141971",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.