Priscilla Ann Pacheco, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60827947 Issued in WA

Practice address

20420 68TH Ave W
Lynnwood, WA 98036-7405

Phone

(425) 431-7000

NPI assigned

Aug 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Bilingual Pediatric Therapies

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1336444884
  NPD (past)
• Walker Square Therapy LLC

  • Physical Therapy Clinic/Center
  • Oklahoma City, OK
  • NPI 1982106837
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1013434141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20420 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20420 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367405",
            "telephone_number": "425-431-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "PRISCILLA",
        "middle_name": "ANN",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60827947",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Happy Home Care Agency
• Tiina Oviir, DDS
• Boluwatife Idowu Owodunni
• Bailey E Pace
• David A Pacey, DMD
• Pacific Chiropractic Clinic PLLC
• Pacific Mental Health LLC
• Pacific Physicians Laboratory, Inc.
• Pacifica SL Lynnwood LLC
• Katherine Packard

• Speech-Language Pathologist in Lynnwood, WA
• Providers in Lynnwood, 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 10, 2024; 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.