Active NPI
Carolyn Finn
- Behavior Technician
- Lynnwood, WA
National Provider Identifier
1659829034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB60766618
- Practice address
- 20818 44TH Ave W
270
Lynnwood, WA 98036-7709 - Phone
- (425) 712-0802
- NPI assigned
- Sep 14, 2016
- 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 | CB60766618 | WA | Primary |
Addresses
Primary practice location
20818 44TH Ave W
270
Lynnwood, WA 98036-7709
Mailing address
20818 44TH Ave W
270
Lynnwood, WA 98036-7709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2066299 | Medicaid | WA |
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 |
|---|---|---|---|
| CB60766618 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1659829034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20818 44TH AVE W",
"address_2": "270",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20818 44TH AVE W",
"address_2": "270",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367709",
"telephone_number": "425-712-0802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINN",
"first_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB60766618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2066299",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.