Active NPI
Lacy Kathryn Pizarro
- Behavior Analyst
- Spokane, WA
National Provider Identifier
1881189496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA61441786
- Practice address
- 227 W 3Rd Ave
Spokane, WA 99201-3611 - Phone
- (509) 995-3388
- Fax
- (509) 321-4350
- NPI assigned
- Jun 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Analyst | 103K00000X | BA61441786 | WA | Primary |
Addresses
Primary practice location
227 W 3Rd Ave
Spokane, WA 99201-3611
Mailing address
868 Lindsay Rd
Colville, WA 99114-8508
Phone (509) 964-6593
Other practice location 1
134 Infield Ct
Mooresville, NC 28117-8026
Phone (704) 799-6824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396085718 | Medicaid | UT |
Other names 1
- Lacy Kathryn Ekins
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
| License | State | Type | Specialty |
|---|---|---|---|
| BA61441786 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lolly Therapeutics, LLC | Behavior Analyst | Past | Accepting new patients |
| Integrative Therapy Concepts | Past | Accepting new patients | |
| Pacific Northwest Behavior, LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Spokane, WA
- NPI 1275020547
-
- Pediatric Occupational Therapist
- Mooresville, NC
- NPI 1508849332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1881189496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 LINDSAY RD",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991148508",
"telephone_number": "509-964-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 W 3RD AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992013611",
"telephone_number": "509-995-3388",
"fax_number": "509-321-4350"
}
],
"practiceLocations": [
{
"address_1": "134 Infield Ct",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281178026",
"country_code": "US",
"telephone_number": "704-799-6824",
"fax_number": "704-799-6825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIZARRO",
"first_name": "LACY",
"middle_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "BA61441786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396085718",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LACY",
"last_name": "EKINS",
"middle_name": "KATHRYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spokane, WA
- James F Pittman, PHD ARNP
- Knox Pittman, D.C.
- Shelby Pittman, PHYSICAL THERAPIST
- Susan G Pitts
- Elle Elaine Pittser
- Andrea Pizzini, DDS
- Mariah Pla-Zapata
- Planned Parenthood of Greater Washington & North Idaho (PPGWNI Spokane, Spokane Valley and Pullman Health Centers)
- Planned Parenthood of Greater Washington and North Idaho (Ppgwni)
- Plannned Parenthood of the Inland NW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.