Active NPI
Shelby Kristine Koch I, BCBA
- Behavior Analyst
- Seattle, WA
National Provider Identifier
1487235750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA61176953
- Practice address
- 3231 41St Ave SW Apt 1
Seattle, WA 98116-3400 - Phone
- (425) 984-4041
- NPI assigned
- Apr 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | AB1035097 | WA | |
| Behavior Analyst | 103K00000X | BA61176953 | WA | Primary |
Addresses
Primary practice location
3231 41St Ave SW Apt 1
Seattle, WA 98116-3400
Mailing address
14915 38TH Dr SE Unit S1148
Bothell, WA 98012-4227
Phone (425) 984-4041
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shkoch@maxhealth.com | Direct | |
| Direct Messaging Address | shkoch@maxhealth.com | Direct | |
| Direct Messaging Address | shkoch@maxhealth.com | Direct | |
| Direct Messaging Address | shkoch@maxhealth.com | Direct | |
| Direct Messaging Address | shkoch@maxhealth.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| BA61176953 | WA | MD | Behavioral Analyst |
| AB1035097 | WA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1487235750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14915 38TH DR SE UNIT S1148",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980124227",
"telephone_number": "425-984-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 41ST AVE SW APT 1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981163400",
"telephone_number": "425-984-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "SHELBY",
"middle_name": "KRISTINE",
"name_prefix": "Miss",
"name_suffix": "I",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "WA",
"license": "AB1035097",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "BA61176953",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shkoch@maxhealth.com",
"affiliation": "N",
"endpointDescription": "E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3231 41st Ave SW Apt 1",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981163400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shkoch@maxhealth.com",
"affiliation": "N",
"endpointDescription": "E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3231 41st Ave SW Apt 1",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981163400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shkoch@maxhealth.com",
"affiliation": "N",
"endpointDescription": "E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3231 41st Ave SW Apt 1",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981163400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shkoch@maxhealth.com",
"affiliation": "N",
"endpointDescription": "E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3231 41st Ave SW Apt 1",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981163400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shkoch@maxhealth.com",
"affiliation": "N",
"endpointDescription": "E-mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3231 41st Ave SW Apt 1",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981163400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.