Individual provider Active NPI

Tammy Ann Burnham, CBT

  • Behavior Technician
  • Oak Harbor, WA
National Provider Identifier
1407327166
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
60969562 Issued in WA
Practice address
231 SE Barrington Dr Ste 203
Oak Harbor, WA 98277-3200
Phone
(866) 240-0808
Fax
(360) 682-5551
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO60884647 WA
Behavior Technician 106S00000X 60969562 WA Primary

Addresses

Primary practice location

231 SE Barrington Dr Ste 203
Oak Harbor, WA 98277-3200

Mailing address

231 SE Barrington Dr Ste 203
Oak Harbor, WA 98277-3200
Phone (866) 240-0808

Other practice location 1

2430 NW Myhre Rd Ste 101
Silverdale, WA 98383-7669
Phone (360) 328-5054

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

LicenseStateTypeSpecialty
CO60884647WAMDAddiction (Substance Use Disorder) Counselor
60969562WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
L.E.a.P.S. and Beyond, Inc PastSince Oct 20, 2019 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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1407327166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR STE 203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "866-240-0808",
            "fax_number": "360-682-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DR STE 203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773200",
            "telephone_number": "866-240-0808",
            "fax_number": "360-682-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 NW Myhre Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983837669",
            "country_code": "US",
            "telephone_number": "360-328-5054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "TAMMY",
        "middle_name": "ANN",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60884647",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "60969562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.