Active NPI
Allison Rosenbaum, MS, CCC-SLP
- Speech-Language Pathologist
- Bellevue, WA
National Provider Identifier
1114626389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61313696
- Practice address
- 2820 Northup Way Ste 120
Bellevue, WA 98004-1419 - Phone
- (425) 803-8050
- NPI assigned
- Feb 27, 2023
- Last updated
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL61313696 | WA | Primary |
Addresses
Primary practice location
2820 Northup Way Ste 120
Bellevue, WA 98004-1419
Mailing address
10626 NE 148TH St
Bothell, WA 98011-4825
Phone (281) 610-4665
Other names 1
- Allison Thomas
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL61313696 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benoliel Speech and Language, PLLC | Multi-Specialty | Past | Accepting new patients |
| Children's Therapy of Woodinville | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Bellevue, WA
- NPI 1033645338
Multi-Specialty
-
dba CTW
- Pediatric Occupational Therapist
- Bothell, WA
- NPI 1558440198
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1114626389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10626 NE 148TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980114825",
"telephone_number": "281-610-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 NORTHUP WAY STE 120",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041419",
"telephone_number": "425-803-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBAUM",
"first_name": "ALLISON",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61313696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "THOMAS",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 11, 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.