NPIMap

Organization Active NPI

Children'S Communication Corner

  • Speech-Language Pathologist
  • Seattle, WA
National Provider Identifier
1093097503
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
60163144 Issued in WA
Legal business name
CHILDREN'S COMMUNICATION CORNER
Practice address
444 Northeast Ravenna Boulvard
Suite Number 307
Seattle, WA 98115
Phone
(206) 299-1780
NPI assigned
Sep 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Ms. Shana L. Kelly, MS.,CCC-SLPNPI 1235277997
Title
Owner/Certified SLP
Phone
(206) 299-1780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 60163144 WA Primary

Addresses

Primary practice location

444 Northeast Ravenna Boulvard
Suite Number 307
Seattle, WA 98115

Mailing address

4115 University Way NE
Ste 202
Seattle, WA 98105
Phone (206) 299-1780

National Provider Directory

National Provider Directory

Locations

444 NE Ravenna Blvd
Ste 307
Seattle, WA 98115
Phone (206) 299-1780

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1093097503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 UNIVERSITY WAY NE",
            "address_2": "STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-299-1780",
            "fax_number": "206-524-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NORTHEAST RAVENNA BOULVARD",
            "address_2": "SUITE NUMBER 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-299-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S COMMUNICATION CORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/CERTIFIED SLP",
        "authorized_official_telephone_number": "206-299-1780",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60163144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.