Lindsay Jennifer Wilkison, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60079604 Issued in WA

Practice address

74 20TH Ave CRT
Milton, WA 98354-9454

Phone

(360) 389-8307

NPI assigned

Aug 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsay J Petersen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Birth to Three Developmental Center

  • Physical Therapy Clinic/Center
  • Federal Way, WA
  • NPI 1609936624
  NPD (past)

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1013149376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 20TH AVENUE CT",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983549454",
            "telephone_number": "360-389-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 20TH AVE CRT",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983549454",
            "telephone_number": "360-389-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKISON",
        "first_name": "LINDSAY",
        "middle_name": "JENNIFER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-19",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60079604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "PETERSEN",
            "middle_name": "J",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Estrelino D Velasco Jr., MD
• Vivivan N Waithaka
• Emmaculate Wamuti
• Glenn Edward Watson
• Laura L Wieth, L.M.P.
• Kevin Woodd Willcox, LMP, NCSA-CPT
• Teresa Ann Erickson Wills, OD
• Blake E Wood, PT61183730
• Madeleine Wright
• Doris Yatta

• Speech-Language Pathologist in Milton, WA
• Providers in Milton, 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 Oct 17, 2016; 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.