Bluesprig Pediatrics

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

BLUESPRIG PEDIATRICS

Practice address

2018 156TH Ave NE
Bellevue, WA 98007-3825

Phone

(971) 359-9812

Fax

(206) 299-7030

NPI assigned

Feb 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katrina BackmanNPI 1619676285

Title

Behavior Technician

Phone

(406) 694-4887

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katrina M Backman

  • Behavior Technician
  • Bellevue, WA
  • NPI 1619676285
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1740988781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073825",
            "telephone_number": "971-359-9812",
            "fax_number": "206-299-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073825",
            "telephone_number": "971-359-9812",
            "fax_number": "206-299-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESPRIG PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "BACKMAN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "406-694-4887"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Wave Eye Doctors, Professional Limited Liability Company
• Meredith Blumenthal, MS, RDN
• Michelle Shellane Blumenzweig, LICSW
• Michaela Bobeva, DDS, MSD
• Jacob Tyler Bobman, MD
• Carol Marie Bobovski, N.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.