Individual provider Active NPI

Rachael From, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Kenmore, WA
National Provider Identifier
1023579794
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
60872335 Issued in WA
Practice address
6443 NE 181St St
Kenmore, WA 98028-4831
Phone
(425) 419-6199
NPI assigned
Mar 26, 2019
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 60872335 WA Primary

Addresses

Primary practice location

6443 NE 181St St
Kenmore, WA 98028-4831

Mailing address

18431 Ballinger Way NE
Lake Forest Park, WA 98155-4238
Phone (651) 206-9596

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachael@northshorepedslt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
60872335WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Cummings, M.S., CCC-SLP, PLLC Speech-Language Pathologist PastSince Feb 14, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachael@northshorepedslt.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1023579794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18431 BALLINGER WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554238",
            "telephone_number": "651-206-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 NE 181ST ST",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284831",
            "telephone_number": "425-419-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROM",
        "first_name": "RACHAEL",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60872335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachael@northshorepedslt.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "address_1": "6443 NE 181st St",
            "city": "Kenmore",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980284831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.