Individual provider Active NPI

Abigail Nye

  • Behavior Technician
  • Spokane, WA
National Provider Identifier
1841922572
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
CB60992649 Issued in WA
Practice address
2820 E Marshall Ave
Spokane, WA 99207-5419
Phone
(509) 505-9614
Fax
(509) 960-5916
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CB60992649 WA Primary

Addresses

Primary practice location

2820 E Marshall Ave
Spokane, WA 99207-5419

Mailing address

2820 E Marshall Ave
Spokane, WA 99207-5419
Phone (509) 505-9614

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@lucidbehaviorwa.com Health Information Exchange (HIE)

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
CB60992649WAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1841922572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E MARSHALL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075419",
            "telephone_number": "509-505-9614",
            "fax_number": "509-960-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E MARSHALL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075419",
            "telephone_number": "509-505-9614",
            "fax_number": "509-960-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYE",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB60992649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@lucidbehaviorwa.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Protected Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2820 E Marshall Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992075419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.