Active NPI
John A Thornton, IDC
- Behavior Analyst
- Poulsbo, WA
National Provider Identifier
1841347929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 21284 Brevik PL NW
Poulsbo, WA 98370-6642 - Phone
- (360) 731-0274
- NPI assigned
- Jan 4, 2007
- Last updated
- Feb 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | NU | ||
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
21284 Brevik PL NW
Poulsbo, WA 98370-6642
Mailing address
21284 Brevik PL NW
Poulsbo, WA 98370-6642
Phone (360) 731-0274
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1841347929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21284 BREVIK PL NW",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706642",
"telephone_number": "360-731-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21284 BREVIK PL NW",
"city": "POULSBO",
"state": "WA",
"postal_code": "983706642",
"telephone_number": "360-731-0274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "JOHN",
"middle_name": "A",
"credential": "IDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
- Thomas W.Redfern DDS
- Torri Lynn Thomas, LMP
- Jessica A Thompson, RDH
- Brian L Thornton, DDS
- Jennifer W Thornton, DDS
- Thrifty Payless Inc (Rite Aid Pharmacy 05261)
- Tidal Mental Health Counseling
- Tiffany D Robinson LMFT PLLC a Wa Professional Limited Liablity Company
- Chad Tinnes, PHARM.D
- Laura N Tolen, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.