Active NPI
Vassalo Speech and Language LLC
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1003547316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- VASSALO SPEECH AND LANGUAGE LLC
- Practice address
- 2300 W Bertona St
Seattle, WA 98199-2326 - Phone
- (978) 444-0321
- NPI assigned
- Jun 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Vassalo
- Title
- Speech-Language Pathologist
- Phone
- (978) 444-0321
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2300 W Bertona St
Seattle, WA 98199-2326
Mailing address
2300 W Bertona St
Seattle, WA 98199-2326
Other names 2
- Vassalo Speech
- Vassalo Speech and Language
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657843200000",
"number": "1003547316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W BERTONA ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981992326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W BERTONA ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981992326",
"telephone_number": "978-444-0321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VASSALO SPEECH AND LANGUAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-19",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A",
"authorized_official_last_name": "VASSALO",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "978-444-0321"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vassalo Speech",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vassalo Speech and Language",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.