Active NPI
Kristina Mercado
- Behavior Technician
- Oak Harbor, WA
National Provider Identifier
1669966255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1065
- Practice address
- 31955 State Route 20 Ste 3
Oak Harbor, WA 98277-5211 - Phone
- (360) 279-9000
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 1065 | WA | Primary |
Addresses
Primary practice location
31955 State Route 20 Ste 3
Oak Harbor, WA 98277-5211
Mailing address
563 NE Kettle St Apt D7
Oak Harbor, WA 98277-2628
Phone (509) 953-4644
Other practice location 1
31955 Wa-20
Oak Harbor, WA 98277
Phone (360) 279-9000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1669966255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "563 NE KETTLE ST APT D7",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982772628",
"telephone_number": "509-953-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31955 STATE ROUTE 20 STE 3",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982775211",
"telephone_number": "360-279-9000"
}
],
"practiceLocations": [
{
"address_1": "31955 WA-20",
"address_purpose": "LOCATION",
"city": "Oak Harbor",
"state": "WA",
"postal_code": "98277",
"country_code": "US",
"telephone_number": "360-279-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCADO",
"first_name": "KRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "1065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.