Active NPI
Abby Sheak
- Behavior Technician
- Allyn, WA
National Provider Identifier
1407257116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 251 E Northcrest Rd
Allyn, WA 98524-8796 - Phone
- (360) 801-3292
- NPI assigned
- Sep 12, 2014
- Last updated
- Aug 8, 2019
- 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 | WA | Primary |
Addresses
Primary practice location
251 E Northcrest Rd
Allyn, WA 98524-8796
Mailing address
PO Box 1275
Allyn, WA 98524-1275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274519866 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1407257116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1275",
"city": "ALLYN",
"state": "WA",
"postal_code": "985241275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E NORTHCREST RD",
"city": "ALLYN",
"state": "WA",
"postal_code": "985248796",
"telephone_number": "360-801-3292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAK",
"first_name": "ABBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274519866",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allyn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.