Individual provider Active NPI

Ashton Neilsen

  • Behavior Technician
  • Arlington, WA
National Provider Identifier
1346894003
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
17825 59TH Ave NE Ste B
Arlington, WA 98223-6453
Phone
(360) 363-4234
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

17825 59TH Ave NE Ste B
Arlington, WA 98223-6453

Mailing address

17825 59TH Ave NE Ste B
Arlington, WA 98223-6453
Phone (360) 363-4234

Other practice location 1

17825 59th Ave NE Ste B
Arlington, WA 98223-6453
Phone (360) 363-4234

Other names 1

  • Ashley Neilson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://secure.simplepractice.com/calendar/appointments Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Autism Behavior Technician CurrentSince Aug 1, 2019 Accepting new patients

Locations

16710 Smokey Point Blvd
Ste 402
Arlington, WA 98223
Phone (360) 363-4234

17825 59th Ave NE
Ste B
Arlington, WA 98223
Phone (360) 363-4234

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1346894003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17825 59TH AVE NE STE B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236453",
            "telephone_number": "360-363-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17825 59TH AVE NE STE B",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982236453",
            "telephone_number": "360-363-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17825 59th Ave NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982236453",
            "country_code": "US",
            "telephone_number": "360-363-4234",
            "fax_number": "360-363-4235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEILSEN",
        "first_name": "ASHTON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://secure.simplepractice.com/calendar/appointments",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17825 59th Ave NE Ste B",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982236453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "NEILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.