Active NPI
Lynn Bonko, SLP-CCC
- Speech-Language Pathologist
- Issaquah, WA
National Provider Identifier
1033650270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 710 NW Juniper St
Suite 110
Issaquah, WA 98027-2717 - Phone
- (206) 805-9108
- NPI assigned
- Mar 20, 2017
- Last updated
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
710 NW Juniper St
Suite 110
Issaquah, WA 98027-2717
Mailing address
8512 Bybee CT SE
Snoqualmie, WA 98065-9238
Phone (206) 805-9108
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevating Expression Speech and Language PLLC | Current | Accepting new patients |
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.
-
dba Elevating Expression
- Hearing and Speech Clinic/Center
- Snoqualmie, WA
- NPI 1902522931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1033650270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8512 BYBEE CT SE",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980659238",
"telephone_number": "206-805-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 NW JUNIPER ST",
"address_2": "SUITE 110",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272717",
"telephone_number": "206-805-9108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONKO",
"first_name": "LYNN",
"credential": "SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.