Individual provider Active NPI

Amy Lynn Muetterties, MSW, M.ED., BCBA

  • Behavior Analyst
  • Bellevue, WA
National Provider Identifier
1376943282
Registry record updated Mar 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA60826831 Issued in WA
Practice address
2310 130TH Ave NE Ste 100
Bellevue, WA 98005-1757
Phone
(425) 882-8868
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2018

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 BA60826831 WA Primary

Addresses

Primary practice location

2310 130TH Ave NE Ste 100
Bellevue, WA 98005-1757

Mailing address

5711 24TH Ave NW Unit 518
Seattle, WA 98107-3464
Phone (720) 320-0461

Other identifiers 1

IdentifierTypeStateIssuer
BA60826831OtherWALICENSED BEHAVIOR ANALYST

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 Education

State licenses

LicenseStateTypeSpecialty
BA60826831WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Sum of Learning, LLC Past Accepting new patients

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520121600000",
    "number": "1376943282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 24TH AVE NW UNIT 518",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073464",
            "telephone_number": "720-320-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 130TH AVE NE STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051757",
            "telephone_number": "425-882-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUETTERTIES",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "MSW, M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2018-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60826831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED BEHAVIOR ANALYST",
            "identifier": "BA60826831",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2018; 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.