Active NPI
Julia Lynn Grout
- Behavior Technician
- Bellingham, WA
National Provider Identifier
1396294427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CG 60693576
- Practice address
- 1616 Cornwall Ave
Bellingham, WA 98225-4648 - Phone
- (360) 305-3275
- NPI assigned
- Sep 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CG 60693576 | WA | Primary |
Addresses
Primary practice location
1616 Cornwall Ave
Bellingham, WA 98225-4648
Mailing address
9135 E Pressentin Dr
Concrete, WA 98237-8819
Phone (206) 999-0989
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 |
|---|---|---|---|
| CG 60693576 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1396294427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9135 E PRESSENTIN DR",
"city": "CONCRETE",
"state": "WA",
"postal_code": "982378819",
"telephone_number": "206-999-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 CORNWALL AVE",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254648",
"telephone_number": "360-305-3275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROUT",
"first_name": "JULIA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-30",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CG 60693576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.