Active NPI
Royleane Elizabeth Otteson, RBT
- Behavior Technician
- Redmond, WA
National Provider Identifier
1639680671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-38139
- Practice address
- 8906 236TH Ave NE
Redmond, WA 98053-1982 - Phone
- (425) 202-7187
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- No
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 | RBT-17-38139 | WA | Primary |
Addresses
Primary practice location
8906 236TH Ave NE
Redmond, WA 98053-1982
Mailing address
8906 236TH Ave NE
Redmond, WA 98053-1982
Phone (425) 202-7187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BACB387802 | Other | WHATEVER INSURANCE MY EMPLOYER IS BILLING |
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 |
|---|---|---|---|
| RBT-17-38139 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1639680671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8906 236TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980531982",
"telephone_number": "425-202-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8906 236TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980531982",
"telephone_number": "425-202-7187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTESON",
"first_name": "ROYLEANE",
"middle_name": "ELIZABETH",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "RBT-17-38139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WHATEVER INSURANCE MY EMPLOYER IS BILLING",
"identifier": "BACB387802",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.