Christy Marie Bisconer, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60983851 Issued in WA

Practice address

647 Gun Club Rd
C/O Dynamic Speech & Language Therapy LLC
Woodland, WA 98674-8361

Phone

(360) 841-8096

Fax

(360) 326-1599

NPI assigned

Jun 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Speech and Language Therapy LLCGroup PAC ID 6709383078, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dynamic Speech & Language Therapy, LLC

  • Speech-Language Pathologist
  • Woodland, WA
  • NPI 1871240226

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1003474370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 GUN CLUB RD",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748361",
            "telephone_number": "360-841-8096",
            "fax_number": "360-326-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 GUN CLUB RD",
            "address_2": "C/O DYNAMIC SPEECH & LANGUAGE THERAPY LLC",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748361",
            "telephone_number": "360-841-8096",
            "fax_number": "360-326-1599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Belmont Loop",
            "address_2": "c/o Dynamic Speech & Language Therapy LLC",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "WA",
            "postal_code": "986748475",
            "country_code": "US",
            "telephone_number": "360-841-8096",
            "fax_number": "360-326-1599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISCONER",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60983851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "14202242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "60983851",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARDOFEXAMINERS",
            "identifier": "18399",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christy@dynamicsltherapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA email",
            "address_1": "647 Gun Club Rd",
            "city": "Woodland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986748361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Woodland, WA
• Providers in Woodland, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.