Individual provider Active NPI

Paul Kenneth Akers, MS CCC SLP

  • Speech-Language Pathologist
  • Washougal, WA
National Provider Identifier
1104149186
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00002813 Issued in WA
Practice address
35570 SE Evergreen Hwy
Washougal, WA 98671-6738
Phone
(360) 607-3136
Fax
(360) 835-0992
NPI assigned
Mar 5, 2010
Last updated
Mar 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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 LL00002813 WA Primary

Addresses

Primary practice location

35570 SE Evergreen Hwy
Washougal, WA 98671-6738

Mailing address

PO Box 870
Washougal, WA 98671-0870
Phone (360) 607-3136

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Touchmark at Fairway Village LLC PastSince Aug 12, 2006 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1104149186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986710870",
            "telephone_number": "360-607-3136",
            "fax_number": "360-835-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35570 SE EVERGREEN HWY",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986716738",
            "telephone_number": "360-607-3136",
            "fax_number": "360-835-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKERS",
        "first_name": "PAUL",
        "middle_name": "KENNETH",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.