Karissa Hummingbird, CB

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB60950506 Issued in WA

Practice address

1420 NW Gilman Blvd # 2604
Issaquah, WA 98027-5394

Phone

(805) 668-8961

NPI assigned

Apr 2, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1720540453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NW GILMAN BLVD # 2604",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275394",
            "telephone_number": "805-668-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 NW GILMAN BLVD # 2604",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275394",
            "telephone_number": "805-668-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMINGBIRD",
        "first_name": "KARISSA",
        "credential": "CB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60950506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED BEHAVIORALIST",
            "identifier": "CB60950506",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Wren Hudgins II, PH.D.
• Carol J Hughes King, OT
• Teresa Hughes, LMHC
• Danielle Justine Hulse
• Christopher E Humberson, R.PH.
• Linda S Hung, MD
• Matthew M Hunkovic, PT, DPT, OCS
• Adrianne Hunter, L.M.P.
• Hannah Kinniburgh Huntley, LMHC
• Jacqueline Le Hunziker, MD

• Behavior Technician in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.