Individual provider Active NPI

Sarah Summer McKim Thomas, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Bellevue, WA
National Provider Identifier
1104225218
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60487418 Issued in WA
Practice address
1800 112TH Ave NE Ste 260E
Bellevue, WA 98004-2937
Phone
(206) 486-2906
Fax
(509) 821-9219
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 LL60487418 WA Primary

Addresses

Primary practice location

1800 112TH Ave NE Ste 260E
Bellevue, WA 98004-2937

Mailing address

1800 112TH Ave NE Ste 260E
Bellevue, WA 98004-2937
Phone (206) 486-2906

Other identifiers 1

IdentifierTypeStateIssuer
2136947MedicaidWA

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LL60487418WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Conaytus LLC Speech-Language Pathologist CurrentSince Oct 1, 2019 Accepting new patients

Locations

1800 112th Ave NE
Ste 260E
Bellevue, WA 98004
Phone (425) 454-9490

16720 Redmond Way
Ste G
Redmond, WA 98052
Phone (206) 486-2906

16329 NE 80th St
Redmond, WA 98052
Phone (425) 610-8030

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1104225218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE STE 260E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042937",
            "telephone_number": "206-486-2906",
            "fax_number": "509-821-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE STE 260E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042937",
            "telephone_number": "206-486-2906",
            "fax_number": "509-821-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIM THOMAS",
        "first_name": "SARAH",
        "middle_name": "SUMMER",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60487418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136947",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.