Individual provider Active NPI

Nyeri A Crater, CB

  • Behavior Technician
  • Sammamish, WA
National Provider Identifier
1598308918
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
CB60979939 Issued in WA
Practice address
22845 SE 1St PL Apt 215
Sammamish, WA 98074-5038
Phone
(805) 668-8961
Fax
(208) 416-6922
NPI assigned
Oct 18, 2019
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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 CB60979939 WA Primary

Addresses

Primary practice location

22845 SE 1St PL Apt 215
Sammamish, WA 98074-5038

Mailing address

22845 SE 1St PL Apt 215
Sammamish, WA 98074-5038
Phone (805) 668-8961

Other identifiers 1

IdentifierTypeStateIssuer
CB60979939OtherWACERTIFIED BEHAVIORALIST

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
CB60979939WAMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1598308918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22845 SE 1ST PL APT 215",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980745038",
            "telephone_number": "805-668-8961",
            "fax_number": "208-416-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22845 SE 1ST PL APT 215",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980745038",
            "telephone_number": "805-668-8961",
            "fax_number": "208-416-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRATER",
        "first_name": "NYERI",
        "middle_name": "A",
        "credential": "CB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60979939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED BEHAVIORALIST",
            "identifier": "CB60979939",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.