Active NPI
Tessy Thomas
- Behavior Technician
- Issaquah, WA
National Provider Identifier
1891452405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB61217371
- Practice address
- 1375 NW Mall St Ste 4
Issaquah, WA 98027-8950 - Phone
- (425) 654-0800
- NPI assigned
- Nov 18, 2021
- Last updated
- Nov 18, 2021
- 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 Technician | 106S00000X | CB61217371 | WA | Primary |
Addresses
Primary practice location
1375 NW Mall St Ste 4
Issaquah, WA 98027-8950
Mailing address
3849 Klahanie Dr SE Apt 7-305
Sammamish, WA 98029-5856
Phone (253) 844-1450
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 |
|---|---|---|---|
| CB61217371 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orchid Health Group, PLLC | 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": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1891452405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3849 KLAHANIE DR SE APT 7-305",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980295856",
"telephone_number": "253-844-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 NW MALL ST STE 4",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278950",
"telephone_number": "425-654-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TESSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB61217371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.