Active NPI
Angelina Wooten
- Behavior Technician
- Spokane, WA
National Provider Identifier
1548015225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-237548
- Practice address
- 528 E Spokane Falls Blvd Ste 14
Spokane, WA 99202-5081 - Phone
- (509) 328-1582
- NPI assigned
- Apr 17, 2024
- Last updated
- Apr 17, 2024
- 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 | RBT-22-237548 | WA | Primary |
Addresses
Primary practice location
528 E Spokane Falls Blvd Ste 14
Spokane, WA 99202-5081
Mailing address
1722 N Bessie LN
Spokane Valley, WA 99212-2488
Phone (509) 995-1098
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 |
|---|---|---|---|
| RBT-22-237548 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1548015225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 N BESSIE LN",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122488",
"telephone_number": "509-995-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 E SPOKANE FALLS BLVD STE 14",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992025081",
"telephone_number": "509-328-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN",
"first_name": "ANGELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-17",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "RBT-22-237548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.