Individual provider Active NPI

Anna Michelle Levin, M.ED., LBA, BCBA

  • Behavior Analyst
  • Bellevue, WA
National Provider Identifier
1477895183
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA60764900 Issued in WA
Practice address
2310 130TH Ave NE Ste 202
Bellevue, WA 98005-1761
Phone
(425) 882-8868
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 BA60764900 WA Primary

Addresses

Primary practice location

2310 130TH Ave NE Ste 202
Bellevue, WA 98005-1761

Mailing address

2310 130TH Ave NE Ste 202
Bellevue, WA 98005-1761
Phone (425) 882-8868

Other practice location 1

4909 25th Ave NE
Seattle, WA 98105-4107
Phone (206) 987-8080

Other practice location 2

1616 Cornwall Ave
Suite 103
Bellingham, WA 98225-4648
Phone (360) 305-3275

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
BA60764900WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Northwest Psychiatry, PS Past Accepting new patients
Sum of Learning, LLC PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 2

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1477895183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 130TH AVE NE STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051761",
            "telephone_number": "425-882-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 130TH AVE NE STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051761",
            "telephone_number": "425-882-8868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4909 25th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054107",
            "country_code": "US",
            "telephone_number": "206-987-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 Cornwall Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254648",
            "country_code": "US",
            "telephone_number": "360-305-3275",
            "fax_number": "360-734-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "ANNA",
        "middle_name": "MICHELLE",
        "credential": "M.ED., LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60764900",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 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.