Active NPI
Thomas Wayne Stensland
- Student in an Organized Health Care Education/Training Program
- Everett, WA
National Provider Identifier
1902387921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3322 Broadway
Everett, WA 98201 - Phone
- (425) 349-6800
- NPI assigned
- Aug 27, 2018
- Last updated
- Aug 28, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3322 Broadway
Everett, WA 98201
Mailing address
6216 57TH Ave NE
Marysville, WA 98270-9539
Phone (360) 303-7695
Other practice location 1
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 428-2422
Other practice location 2
6216 57th Ave NE
Marysville, WA 98270-9539
Phone (360) 303-7695
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZLF180048141 | Other | WA | REGENCE BLUE SHIELD |
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": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1902387921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6216 57TH AVE NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982709539",
"telephone_number": "360-303-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "98201",
"telephone_number": "425-349-6800"
}
],
"practiceLocations": [
{
"address_1": "1415 E Kincaid St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744126",
"country_code": "US",
"telephone_number": "360-428-2422",
"fax_number": "360-814-8215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6216 57th Ave NE",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "WA",
"postal_code": "982709539",
"country_code": "US",
"telephone_number": "360-303-7695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STENSLAND",
"first_name": "THOMAS",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "ZLF180048141",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.