Elaine Tina Maki, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003719 Issued in WA

Practice address

1400 King St
Suite B104
Bellingham, WA 98229-6262

Phone

(360) 201-1689

Fax

(360) 312-4362

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104926120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SUDDEN VLY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982294829",
            "telephone_number": "360-201-1689",
            "fax_number": "360-312-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 KING ST",
            "address_2": "SUITE B104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296262",
            "telephone_number": "360-201-1689",
            "fax_number": "360-312-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "ELAINE",
        "middle_name": "TINA",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "7967MA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7133713",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE HEALTH",
            "identifier": "09128",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meriah July Main, RN
• Andrew H Maixner, M.D.
• Julie A. Major, PSYD
• Victor W Mak, DDS, MSD
• Nizar R. Makan, MD
• Matthew Glen Malcolm
• Mania Malekian Nobarani, PHARMD
• Rebecca Malinosky, MA, LMHC
• Michael J Mallory, MD
• Kathleen Warner Malnor, CNM, ARNP

• Speech-Language Pathologist in Bellingham, WA
• Providers in Bellingham, 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 Jul 8, 2007; 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.