Annabeth Lynn Pickell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61372523 Issued in WA

Practice address

33309 1St Way S Ste 100
Federal Way, WA 98003-6260

Phone

(253) 517-5290

Fax

(206) 238-9450

NPI assigned

Mar 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Denali Care Services, LLC.

  • Behavior Analyst
  • Federal Way, WA
  • NPI 1629713623
  NPD (past)

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1609575372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 16TH ST E APT R202",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984243407",
            "telephone_number": "805-825-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33309 1ST WAY S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036260",
            "telephone_number": "253-517-5290",
            "fax_number": "206-238-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKELL",
        "first_name": "ANNABETH",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61372523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillips Family Medicine & Wellness
• Andrea J Phillips
• Kathryn Marie Phillips, PA-C
• Stephanie Phillips, LMHC, LPC
• Sydney Picard, DPT
• Ny'Yana Ryann Pickle, LMT
• Jessica Pierce
• Jessica Tucker Pierce, M.D.
• Kanghee Piercy, PHARMD
• Branwyne Grace Pierpoint, LICSWA

• Behavior Technician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.