Active NPI
Kimberly C Evans, M.A. SPED
- Behavior Analyst
- Seattle, WA
National Provider Identifier
1548640683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- CG60573410
- Practice address
- 3214 W McGraw St Ste 212
Seattle, WA 98199-3239 - Phone
- (206) 453-4882
- NPI assigned
- Jun 3, 2015
- 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 Analyst | 103K00000X | CG60573410 | WA | Primary |
Addresses
Primary practice location
3214 W McGraw St Ste 212
Seattle, WA 98199-3239
Mailing address
12724 Lake City Way NE Apt A403
Seattle, WA 98125-4454
Phone (480) 248-5312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG60573410 | Other | WA | AGENCY AFFILIATED COUNSELOR PENDING CREDENTIAL NUMBER |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60573410 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1548640683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12724 LAKE CITY WAY NE APT A403",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254454",
"telephone_number": "480-248-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 W MCGRAW ST STE 212",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981993239",
"telephone_number": "206-453-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "KIMBERLY",
"middle_name": "C",
"credential": "M.A. SPED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "CG60573410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY AFFILIATED COUNSELOR PENDING CREDENTIAL NUMBER",
"identifier": "CG60573410",
"state": "WA"
}
],
"endpoints": [],
"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 Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.