Individual provider Active NPI

Lisa Gayle Gerhart, RBT

  • Behavior Technician
  • Covington, WA
National Provider Identifier
1548891708
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
17-36055 Issued in WA
Practice address
17265 SE Wax Rd Ste 105
Covington, WA 98042-9102
Phone
(425) 891-2352
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 17-36055 WA Primary

Addresses

Primary practice location

17265 SE Wax Rd Ste 105
Covington, WA 98042-9102

Mailing address

13320 SE 181St PL
Renton, WA 98058-6845
Phone (206) 235-7909

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

LicenseStateTypeSpecialty
17-36055WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Navigation Therapy Services LLC Behavior Technician CurrentSince Feb 2, 2020 Accepting new patients

Locations

17265 SE Wax Rd
Ste 105
Covington, WA 98042
Phone (253) 981-4133

Organizations & group practices 1

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1548891708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 SE 181ST PL",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980586845",
            "telephone_number": "206-235-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17265 SE WAX RD STE 105",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980429102",
            "telephone_number": "425-891-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHART",
        "first_name": "LISA",
        "middle_name": "GAYLE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "17-36055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.