Individual provider Active NPI

Jennifer Hall

  • Speech-Language Pathologist
  • Snoqualmie, WA
National Provider Identifier
1104533710
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61367282 Issued in WA
Practice address
9050 384TH Ave SE
Snoqualmie, WA 98065-9637
Phone
(425) 888-3347
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 LL61367282 WA Primary

Addresses

Primary practice location

9050 384TH Ave SE
Snoqualmie, WA 98065-9637

Mailing address

33923 SE Strouf St
Snoqualmie, WA 98065-8734
Phone (425) 890-9219

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
LL61367282WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Northwest Speech-Language Pathologist CurrentSince Mar 12, 2023 Accepting new patients

Locations

9050 384th Ave SE
Snoqualmie, WA 98065
Phone (425) 888-3347

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1104533710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33923 SE STROUF ST",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658734",
            "telephone_number": "425-890-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 384TH AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659637",
            "telephone_number": "425-888-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61367282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.