Individual provider Active NPI

Leah Rachelle Norrbom, SLPA

  • Speech-Language Assistant
  • Cle Elum, WA
National Provider Identifier
1083128920
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
60767489 Issued in WA
Practice address
2696 State Route 903
Cle Elum, WA 98922-8704
Phone
(509) 649-4700
Fax
(509) 649-2074
NPI assigned
Nov 30, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 60767489 WA Primary

Addresses

Primary practice location

2696 State Route 903
Cle Elum, WA 98922-8704

Mailing address

2696 State Route 903
Cle Elum, WA 98922-8704
Phone (509) 649-4700

Other identifiers 1

IdentifierTypeStateIssuer
60767489MedicaidWA

Other names 1

  • Leah Rachelle Fike Former name

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
60767489WAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1083128920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 STATE ROUTE 903",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989228704",
            "telephone_number": "509-649-4700",
            "fax_number": "509-649-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 STATE ROUTE 903",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989228704",
            "telephone_number": "509-649-4700",
            "fax_number": "509-649-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRBOM",
        "first_name": "LEAH",
        "middle_name": "RACHELLE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "60767489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60767489",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "FIKE",
            "middle_name": "RACHELLE",
            "credential": "SLPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cle Elum, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.