Active NPI
Jill Suzanne Germain Estrada, M. ED.
- Behavior Analyst
- Tukwila, WA
National Provider Identifier
1871042184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA60905343
- Practice address
- 651 Strander Blvd Ste 105
Tukwila, WA 98188-2914 - Phone
- (206) 313-8840
- NPI assigned
- Sep 27, 2016
- Last updated
- Jan 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BA60905343 | WA | Primary |
Addresses
Primary practice location
651 Strander Blvd Ste 105
Tukwila, WA 98188-2914
Mailing address
121 Timber Heights Dr
Port Ludlow, WA 98365-8247
Phone (360) 215-0511
Other names 1
- Jill Suzanne Germain
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA60905343 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Pediatric Health | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1871042184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 TIMBER HEIGHTS DR",
"city": "PORT LUDLOW",
"state": "WA",
"postal_code": "983658247",
"telephone_number": "360-215-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 STRANDER BLVD STE 105",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882914",
"telephone_number": "206-313-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTRADA",
"first_name": "JILL",
"middle_name": "SUZANNE GERMAIN",
"credential": "M. ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "BA60905343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "GERMAIN",
"middle_name": "SUZANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.