Individual provider Active NPI

Gloria Lee

  • Speech-Language Pathologist
  • Seattle, WA
National Provider Identifier
1053208702
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61308056 Issued in WA
Practice address
500 17TH Ave
Seattle, WA 98122-5711
Phone
(425) 243-9436
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 LL61308056 WA Primary

Addresses

Primary practice location

500 17TH Ave
Seattle, WA 98122-5711

Mailing address

500 17TH Ave
Seattle, WA 98122-5711
Phone (608) 352-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251230004102 WA Practitioner - Qualified Speech Language Pathologist 5698261535 Practice locations: Spokane, WA
I20260616002759 OR Practitioner - Qualified Speech Language Pathologist 5698261535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Wisconsin School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Speechworks LLCGroup PAC ID 2668836065, 8 clinicians

Practice addresses (Care Compare)

Spokane, WA 99201
Phone (425) 243-9436

12819 SE 38TH St
Suite 255
Bellevue, WA 98006-1326

15962 Boones Ferry Rd
Suite 204
Lake Oswego, OR 97035-4351

15962 Boones Ferry Rd
Suite 204
Lake Oswego, OR 97035-4360
Phone (971) 346-0355

1603 116TH Ave NE
Suite 118
Bellevue, WA 98004-3009
Phone (971) 346-0355

6314 SE 32ND Ave
Portland, OR 97202-8506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL61308056WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Form Speech and Swallowing PLLC Speech-Language Pathologist CurrentSince Sep 30, 2025 Accepting new patients

Locations

12819 SE 38th St
Bellevue, WA 98006
Phone (206) 595-8573

100 N Howard St
Spokane, WA 99201
Phone (206) 201-1163

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1053208702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 17TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225711",
            "telephone_number": "608-352-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 17TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225711",
            "telephone_number": "425-243-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GLORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61308056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.