Active NPI
Angela Carmen Whipple, BCBA
- Behavior Analyst
- Olympia, WA
National Provider Identifier
1891216065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33402
- Practice address
- 208 Lilly Rd NE Ste B
Olympia, WA 98506-6100 - Phone
- (360) 456-2237
- NPI assigned
- Jun 28, 2017
- 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 | 1-18-33402 | WA | Primary |
Addresses
Primary practice location
208 Lilly Rd NE Ste B
Olympia, WA 98506-6100
Mailing address
630 N 11TH St
Elma, WA 98541-9332
Phone (360) 470-6107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-18-33402 | Other | BCBA |
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": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1891216065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 N 11TH ST",
"city": "ELMA",
"state": "WA",
"postal_code": "985419332",
"telephone_number": "360-470-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 LILLY RD NE STE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985066100",
"telephone_number": "360-456-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIPPLE",
"first_name": "ANGELA",
"middle_name": "CARMEN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-28",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "1-18-33402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-18-33402",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.