Individual provider Active NPI

Constance Essinger, M.ED.

  • Speech-Language Pathologist
  • Redmond, WA
National Provider Identifier
1003160995
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL 00001249 Issued in WA
Practice address
17272 NE 104TH St
Redmond, WA 98052-2813
Phone
(425) 936-1800
Fax
(425) 936-1810
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL 00001249 WA Primary

Addresses

Primary practice location

17272 NE 104TH St
Redmond, WA 98052-2813

Mailing address

17272 NE 104TH St
Redmond, WA 98052-2813
Phone (425) 936-1800

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LL 00001249WAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1003160995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17272 NE 104TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522813",
            "telephone_number": "425-936-1800",
            "fax_number": "425-936-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17272 NE 104TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522813",
            "telephone_number": "425-936-1800",
            "fax_number": "425-936-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSINGER",
        "first_name": "CONSTANCE",
        "name_prefix": "Ms.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 00001249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.