Active NPI
Jamie Mills
- Behavior Analyst
- Issaquah, WA
National Provider Identifier
1760815500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- CG60395349
- Practice address
- 1871 NW Gilman Blvd Ste 2
Issaquah, WA 98027-8116 - Phone
- (425) 657-0620
- Fax
- (425) 657-7415
- NPI assigned
- Aug 15, 2013
- 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 Analyst | 103K00000X | CG60395349 | WA | Primary |
Addresses
Primary practice location
1871 NW Gilman Blvd Ste 2
Issaquah, WA 98027-8116
Mailing address
1871 NW Gilman Blvd Ste 2
Issaquah, WA 98027-8116
Phone (425) 657-0620
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 |
|---|---|---|---|
| CG60395349 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1760815500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 NW GILMAN BLVD STE 2",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278116",
"telephone_number": "425-657-0620",
"fax_number": "425-657-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 NW GILMAN BLVD STE 2",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278116",
"telephone_number": "425-657-0620",
"fax_number": "425-657-7415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "CG60395349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.