Sumerlyn Wirtz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-220315 Issued in NE

Practice address

157 S Howard St Ste 310
Spokane, WA 99201-4421

Phone

(509) 494-9191

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1780315457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 S HOWARD ST STE 310",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014421",
            "telephone_number": "509-494-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 S HOWARD ST STE 310",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014421",
            "telephone_number": "509-494-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTZ",
        "first_name": "SUMERLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NE",
            "license": "RBT-22-220315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LINCOLN",
            "affiliation": "N",
            "endpointDescription": "rbt",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LINCOLN",
            "address_1": "157 S Howard St Ste 310",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992014421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Rachel Winton, MD
• Gregory Wintz, PH.D., OTR/L
• Valerie Lynn Wire, PHARM.D.
• Robert Samuel Wirthlin, M.D.
• Linda Wirtz, MA
• Christine Louise Wiscombe, FNP-C
• Wise Mind Academy LLC
• Wise Mind, LLC
• Wise Mindbody Institute PLLC
• Wise Wellness, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.