IndividualActive
Jordan Shimomura
NPI 1164185625 · Behavior Technician · Issaquah, WA
Jordan Shimomura is a Behavior Technician provider in Issaquah, WA (NPI 1164185625).
Provider details
- NPI number
- 1164185625
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1375 Nw Mall St Ste 4
Issaquah, WA 98027-8950
Phone: (425) 654-0080
Street-level locationGet directions
Mailing address
1204 N 10th Pl Apt 2347
Renton, WA 98057-5665
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-10-20
- Certified
- 2021-10-20
Frequently asked questions
- What is Jordan Shimomura's NPI number?
- Jordan Shimomura's National Provider Identifier (NPI) is 1164185625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Shimomura's specialty?
- Jordan Shimomura is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jordan Shimomura located?
- Jordan Shimomura's practice location on file with NPPES is 1375 Nw Mall St Ste 4, Issaquah, WA 98027-8950.
- What is Jordan Shimomura's phone number?
- The practice phone number listed in the NPPES registry for Jordan Shimomura is (425) 654-0080.
- Is Jordan Shimomura's NPI active?
- Yes — Jordan Shimomura's NPI (1164185625) is active in the NPPES registry as of the last update on 2021-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.