Individual provider Active NPI

Jasmine Washington

  • Behavior Technician
  • Virginia Beach, VA
National Provider Identifier
1609648989
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
149 Tower Dr
Virginia Beach, VA 23462-3555
Phone
(757) 317-0600
Fax
(757) 317-0900
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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 Primary

Addresses

Primary practice location

149 Tower Dr
Virginia Beach, VA 23462-3555

Mailing address

149 Tower Dr
Virginia Beach, VA 23462-3555
Phone (757) 317-0600

Other identifiers 1

IdentifierTypeStateIssuer
852002319MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@carriefunn.com Direct Carrie Funn Behavior Therapy and Consulting Services

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie Funn Behavior Therapy and Consulting Services CurrentSince Nov 5, 2023 Accepting new patients

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1609648989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 TOWER DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623555",
            "telephone_number": "757-317-0600",
            "fax_number": "757-317-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 TOWER DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623555",
            "telephone_number": "757-317-0600",
            "fax_number": "757-317-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "JASMINE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852002319",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@carriefunn.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Carrie Funn Behavior Therapy and Consulting Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.carriefunn.com",
            "address_1": "149 Tower Dr",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234623555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.