Active NPI
Gloria Lee
- Speech-Language Pathologist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61308056
- 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
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 | 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, OR
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL61308056 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Form Speech and Swallowing PLLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Lake Oswego, OR
- NPI 1922746619
-
- Speech-Language Pathologist
- Spokane, WA
- NPI 1053286120
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.