Active NPI
Joshua Scott Antles, LMHC, PA-C
- Physician Assistant
- Spokane Valley, WA
National Provider Identifier
1871020040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61124921
- Practice address
- 10410 E 9TH Ave
Spokane Valley, WA 99206-3510 - Phone
- (509) 321-9050
- NPI assigned
- May 18, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH60460265 | WA | |
| Mental Health Counselor | 101YM0800X | LH60460265 | WA | |
| Physician Assistant | 363A00000X | PA61124921 | WA | Primary |
Addresses
Primary practice location
10410 E 9TH Ave
Spokane Valley, WA 99206-3510
Mailing address
6103 W Windriver Dr
Spokane, WA 99208-9018
Phone (509) 979-4790
Other practice location 1
14231 61st Ave SE
Everett, WA 98208-9303
Phone (509) 979-4790
Other practice location 2
2901 174th St NE
Marysville, WA 98271-4743
Phone (360) 454-1953
Other practice location 3
4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60460265 | WA | MD | Counselor |
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Puyallup, WA
- NPI 1811752066
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1144706532
-
- Hospitalist Physician
- Spokane, WA
- NPI 1336678168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871020040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6103 W WINDRIVER DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992089018",
"telephone_number": "509-979-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10410 E 9TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992063510",
"telephone_number": "509-321-9050"
}
],
"practiceLocations": [
{
"address_1": "14231 61st Ave SE",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982089303",
"country_code": "US",
"telephone_number": "509-979-4790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2901 174th St NE",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "WA",
"postal_code": "982714743",
"country_code": "US",
"telephone_number": "360-454-1953",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4311 11th Ave NE Ste 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981056367",
"country_code": "US",
"telephone_number": "206-616-4001",
"fax_number": "206-616-3889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANTLES",
"first_name": "JOSHUA",
"middle_name": "SCOTT",
"credential": "LMHC, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-18",
"last_updated": "2022-07-21",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH60460265",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60460265",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61124921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.