Gina Marie Pretzer, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60871369 Issued in WA

Practice address

6424 N 9TH St
Tacoma, WA 98406-2091

Phone

(253) 565-4484

Fax

(253) 565-5823

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hopesparks

  • Mental Health Counselor
  • Tacoma, WA
  • NPI 1871660811

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1083183107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 N 9TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062091",
            "telephone_number": "253-565-4484",
            "fax_number": "253-565-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 N 9TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062091",
            "telephone_number": "253-565-4484",
            "fax_number": "253-565-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETZER",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60871369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "91-0598103",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prestige Phlebotomy
• Anna Deborah Preston, M.A.
• Jacob Preston
• Jaiden Preston
• Kyle Prete, DO
• Jennifer Kathleen Prevett, OTR
• Meikel Adrian Prevost
• Michelle Denise Prevost
• Kara Lindsay Prew, RDH
• Craig Arthur Prewitt, MPT

• Speech-Language Pathologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.