Speech Therapy Kirkland

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00001454 Issued in WA

Legal business name

SPEECH THERAPY KIRKLAND

Practice address

9827 NE 120TH PL
Kirkland, WA 98034-6253

Phone

(206) 963-6252

Fax

(425) 272-4253

NPI assigned

Mar 30, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dawn S Blomberg, M.S., CCC-SLP

Title

Owner

Phone

(206) 963-6252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dawn S Blomberg, M.S., CCC-SLP, LLC Former legal business name

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1114312964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9827 NE 120TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346253",
            "telephone_number": "206-963-6252",
            "fax_number": "425-272-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9827 NE 120TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346253",
            "telephone_number": "206-963-6252",
            "fax_number": "425-272-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY KIRKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "BLOMBERG",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-963-6252",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132103",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawn S Blomberg, M.S., CCC-SLP, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Speech-Language Pathologist in Kirkland, WA
• Providers in Kirkland, 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 Mar 30, 2015; 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.