NPIMap

Individual provider Active NPI

Denise D Morrison, CCC SLP

  • Speech-Language Pathologist
  • Lacey, WA
National Provider Identifier
1073575676
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60326262 Issued in WA
Practice address
4510 Intelco Loop SE
Lacey, WA 98503-6004
Phone
(360) 786-1753
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP005837 GA
Speech-Language Pathologist 235Z00000X LL60326262 WA Primary

Addresses

Primary practice location

4510 Intelco Loop SE
Lacey, WA 98503-6004

Mailing address

4510 Intelco Loop SE
Lacey, WA 98503-6004
Phone (360) 786-1753

Other practice location 1

700 North Oak St
Valdosta, GA 31601
Phone (229) 241-7299

Other identifiers 1

IdentifierTypeStateIssuer
431441627AMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
SLP005837GAMDSpeech-Language Pathologist
LL60326262WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Therapy Services Inc Speech-Language Pathologist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1073575676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 INTELCO LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036004",
            "telephone_number": "360-786-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 INTELCO LOOP SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036004",
            "telephone_number": "360-786-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 North Oak St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "31601",
            "country_code": "US",
            "telephone_number": "229-241-7299",
            "fax_number": "229-241-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "DENISE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005837",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60326262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431441627A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.