Individual provider Active NPI

Rhonda Lynn Friedlander, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Omak, WA
National Provider Identifier
1063616100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00002693 Issued in WA
Practice address
236 Edmonds Street
Omak, WA 98841-1440
Phone
(509) 826-0391
NPI assigned
Jun 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LL00002693 WA Primary

Addresses

Primary practice location

236 Edmonds Street
Omak, WA 98841-1440

Mailing address

236 Edmonds Street
P.O. Box 1440
Omak, WA 98841-1440
Phone (509) 826-0391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125001126 TX Practitioner - Qualified Speech Language Pathologist 6305238379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL00002693WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Tribes of the Colville Reservation CurrentSince Sep 21, 2021 Accepting new patients
Confederated Tribes of the Colville Reservation Current Accepting new patients
Confederated Tribes of the Colville Reservation CurrentSince Sep 21, 2021 Accepting new patients
Confederated Tribes of the Colville Reservation PastSince May 25, 2021 Accepting new patients

Organizations & group practices 4

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063616100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 EDMONDS STREET",
            "address_2": "P.O. BOX 1440",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988411440",
            "telephone_number": "509-826-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 EDMONDS STREET",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988411440",
            "telephone_number": "509-826-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLANDER",
        "first_name": "RHONDA",
        "middle_name": "LYNN",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.