Active NPI
Heidi Carroll
- Behavior Technician
- Snoqualmie, WA
National Provider Identifier
1598299604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CAAR.CG.60752021
- Practice address
- 8328 Olmstead PL SE
Snoqualmie, WA 98065-1344 - Phone
- (425) 525-8125
- NPI assigned
- Apr 14, 2017
- Last updated
- Apr 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CAAR.CG.60752021 | WA | Primary |
Addresses
Primary practice location
8328 Olmstead PL SE
Snoqualmie, WA 98065-1344
Mailing address
8328 Olmstead PL SE
Snoqualmie, WA 98065-1344
Phone (425) 525-8125
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 |
|---|---|---|---|
| CAAR.CG.60752021 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1598299604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8328 OLMSTEAD PL SE",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980651344",
"telephone_number": "425-525-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8328 OLMSTEAD PL SE",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980651344",
"telephone_number": "425-525-8125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "HEIDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CAAR.CG.60752021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snoqualmie, WA
- Melisha Anne Budworth, M.S. CCC-SLP
- Gabrielle Burrell
- Victor Cai, MD
- Carson Calderwood, DDS
- Danielle Carragher, PT
- Carson B Calderwood DDS PLLC, Dba Snoqualmie Falls Dental
- Cascade Wellness & Counseling
- Maria Isabel Celestino Osorio
- Charles Chang, DDS, Ms, PLLC (Snoqualmie Modern Dental Care)
- Yen S Chen, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.