Individual provider Active NPI

Shaina Flaherty

  • Behavior Analyst
  • Oak Harbor, WA
National Provider Identifier
1760137020
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
851 SE Pioneer Way Ste 201
Oak Harbor, WA 98277-5789
Phone
(360) 333-5684
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

851 SE Pioneer Way Ste 201
Oak Harbor, WA 98277-5789

Mailing address

851 SE Pioneer Way Ste 201
Oak Harbor, WA 98277-5789

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel.wagner@bluewateraba.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water Behavioral Consulting LLC Behavior Analyst CurrentSince Feb 24, 2022 Accepting new patients

Locations

851 SE Pioneer Way
Ste 201
Oak Harbor, WA 98277
Phone (360) 333-5684

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1760137020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 SE PIONEER WAY STE 201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 SE PIONEER WAY STE 201",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775789",
            "telephone_number": "360-333-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "SHAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.wagner@bluewateraba.com",
            "affiliation": "N",
            "address_1": "851 SE Pioneer Way Ste 201",
            "city": "Oak Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982775789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 15, 2022; 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.