Individual provider Active NPI

Jill-Nicole Armstrong, BCBA, LBA

  • Behavior Analyst
  • Ketchikan, AK
National Provider Identifier
1821787045
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
215937 Issued in AK
Practice address
3212 Timberline CT
Ketchikan, AK 99901-5775
Phone
(267) 663-8397
Fax
(907) 375-2969
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 215937 AK Primary

Addresses

Primary practice location

3212 Timberline CT
Ketchikan, AK 99901-5775

Mailing address

3212 Timberline CT
Ketchikan, AK 99901-5775
Phone (267) 663-8397

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 907-375-2969 Direct

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

LicenseStateTypeSpecialty
215937AKMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Access Behavioral Services, LLC Behavior Analyst CurrentSince Jun 9, 2024 Accepting new patients

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1821787045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 TIMBERLINE CT",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015775",
            "telephone_number": "267-663-8397",
            "fax_number": "907-375-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 TIMBERLINE CT",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015775",
            "telephone_number": "267-663-8397",
            "fax_number": "907-375-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "JILL-NICOLE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AK",
            "license": "215937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "907-375-2969",
            "affiliation": "N",
            "endpointDescription": "Efax HIPAA compliant direct fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Fax",
            "address_1": "3212 Timberline Ct",
            "city": "Ketchikan",
            "state": "AK",
            "country_code": "US",
            "postal_code": "999015775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.