Peggy Glass Paxton, MA CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 60061894 Issued in WA

Practice address

920 S 2ND St
Mount Vernon, WA 98273-4205

Phone

(360) 428-6141

NPI assigned

Jan 15, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• City of Mount Vernon School Dist 320

  • Local Education Agency (LEA)
  • Mount Vernon, WA
  • NPI 1467486159
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1023355690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 S 10TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982745022",
            "telephone_number": "360-336-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S 2ND ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734205",
            "telephone_number": "360-428-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXTON",
        "first_name": "PEGGY",
        "middle_name": "GLASS",
        "credential": "MA CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 60061894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Patterson, PHD, LMHC
• Linda Loraine Patterson, LMP
• Jonathan D Patton, PA-C
• Barbara Paul, MAC,LAC
• Emma Pavlich
• Michael A Payne, ARNP
• Anisa S. Pea, DPM
• Marta Varee Pearson
• Robert Wayne Peck, LPN
• Karen Joy Pederson, PT

• Speech-Language Pathologist in Mount Vernon, WA
• Providers in Mount Vernon, 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 Jan 15, 2013; 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.