Angela Marie Wells

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

602959655

Practice address

16715 NE 79TH St
Redmond, WA 98052

Phone

(226) 290-0977

NPI assigned

Apr 3, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1811230337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16715 NE 79TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524425",
            "telephone_number": "425-242-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16715 NE 79TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "226-290-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "602959655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271071030",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Beth Weisman, MA
• Michael Weiss, M.D.
• Troy Steven Welker, BCBA
• Well Nested, PLLC
• Wellness Group Physical Therapy, PLLC
• Jason Wells
• Richard Theodore Wemhoff, PH.D.
• Julie Wen, MD
• Marcia Adams Wesley, PSY.D.
• Jennifer Wesselius

• Behavior Analyst in Redmond, WA
• Providers in Redmond, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.