Individual provider Active NPI

Sarah Jean Linton, MA CCC/SLP

  • Speech-Language Pathologist
  • Dupont, WA
National Provider Identifier
1063758357
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00004643 Issued in WA
Practice address
1700 Palisade Blvd
Dupont, WA 98327-9734
Phone
(253) 583-7146
NPI assigned
Dec 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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 LL00004643 WA Primary

Addresses

Primary practice location

1700 Palisade Blvd
Dupont, WA 98327-9734

Mailing address

409 Marland St SW Apt 5a
Olympia, WA 98502-8653
Phone (360) 870-1160

Other identifiers 2

IdentifierTypeStateIssuer
LL00004643OtherWAWA STATE LICENSE FOR SPEECH LANGUAGE PATHOLOGIST
12021858OtherAMERICAN SPEECH AND HEARING ASSOCIATION CERTIFICAT OF CLINICAL COMPETENCE

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 Arts

State licenses

LicenseStateTypeSpecialty
LL00004643WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1063758357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MARLAND ST SW APT 5A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028653",
            "telephone_number": "360-870-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PALISADE BLVD",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279734",
            "telephone_number": "253-583-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTON",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "MA CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE FOR SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "LL00004643",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION CERTIFICAT OF CLINICAL COMPETENCE",
            "identifier": "12021858",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dupont, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.