Individual provider Active NPI

Irna Reyes McLaughlin, MACCC-SLP

  • Speech-Language Pathologist
  • Stanwood, WA
National Provider Identifier
1104928761
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00003007 Issued in WA
Practice address
27242 Church Creek Loop NW
Stanwood, WA 98292-7448
Phone
(425) 530-1385
Fax
(360) 629-3432
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 LL00003007 WA Primary

Addresses

Primary practice location

27242 Church Creek Loop NW
Stanwood, WA 98292-7448

Mailing address

27242 Church Creek Loop NW
Stanwood, WA 98292-7448
Phone (425) 530-1385

Other identifiers 3

IdentifierTypeStateIssuer
LL00003007OtherWASTATE LICENSE
09141193OtherWAASHA NATIONAL LICENSE
7132095MedicaidWA

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
LL00003007WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104928761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27242 CHURCH CREEK LOOP NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927448",
            "telephone_number": "425-530-1385",
            "fax_number": "360-629-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27242 CHURCH CREEK LOOP NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982927448",
            "telephone_number": "425-530-1385",
            "fax_number": "360-629-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "IRNA",
        "middle_name": "REYES",
        "credential": "MACCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LL00003007",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA NATIONAL LICENSE",
            "identifier": "09141193",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132095",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, WA

Sources for this page

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