Individual provider Active NPI

Catherine Muthembwa Mutevu

  • Behavior Technician
  • Everett, WA
National Provider Identifier
1902450513
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
NC60837307 Issued in WA
Practice address
4526 Federal Ave # Ms 11
Everett, WA 98203-2132
Phone
(425) 349-6200
NPI assigned
Jul 31, 2019
Last updated
Jul 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NC60837307 WA Primary

Addresses

Primary practice location

4526 Federal Ave # Ms 11
Everett, WA 98203-2132

Mailing address

4526 Federal Ave # Ms 11
Everett, WA 98203-2132
Phone (425) 349-6200

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address catherine.mutevu@compassh.org Other
Direct Messaging Address catherine.mutevu@compassh.org Other
Direct Messaging Address catherine.mutevu@compassh.org Other

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

LicenseStateTypeSpecialty
NC60837307WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health Housing Services Current Accepting new patients

Locations

4526 Federal Ave
Everett, WA 98203
Phone (425) 349-8397

4526 Federal Ave
#11
Everett, WA 98203
Phone (360) 349-6200

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1902450513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 FEDERAL AVE # MS 11",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032132",
            "telephone_number": "425-349-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 FEDERAL AVE # MS 11",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032132",
            "telephone_number": "425-349-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTEVU",
        "first_name": "CATHERINE",
        "middle_name": "MUTHEMBWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "NC60837307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.mutevu@compassh.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMAIL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PROVIDER EMAIL",
            "address_1": "4526 Federal Ave",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982032132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.mutevu@compassh.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMAIL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PROVIDER EMAIL",
            "address_1": "4526 Federal Ave",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982032132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.mutevu@compassh.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMAIL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PROVIDER EMAIL",
            "address_1": "4526 Federal Ave",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982032132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.