Active NPI
Walter Ostarly
- Behavior Technician
- Salt Lake City, UT
National Provider Identifier
1538720321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 106S00000X
- Practice address
- 515 S 700 E
Salt Lake City, UT 84102-2801 - Phone
- (801) 935-4171
- NPI assigned
- Jun 24, 2019
- Last updated
- Jun 24, 2019
- Sex
- Male
- 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 | 106S00000X | UT | Primary |
Addresses
Primary practice location
515 S 700 E
Salt Lake City, UT 84102-2801
Mailing address
2318 900 E
Salt Lake City, UT 84106
Phone (801) 634-6173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-5073382 | Other | UT | STATE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlucero@abskids.com |
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 |
|---|---|---|---|
| 106S00000X | UT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1538720321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 900 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84106",
"telephone_number": "801-634-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S 700 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022801",
"telephone_number": "801-935-4171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTARLY",
"first_name": "WALTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "UT",
"license": "106S00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "27-5073382",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlucero@abskids.com",
"affiliation": "N",
"address_1": "515 S 700 E",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841022801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.