Individual provider Active NPI

Judy R Stone-Goldman, PHD., CCC-SLP

  • Speech-Language Pathologist
  • Bellevue, WA
National Provider Identifier
1124345145
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001801 Issued in WA
Practice address
15825 SE 13TH St
Bellevue, WA 98008-5016
Phone
(206) 795-3546
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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 LL00001801 WA Primary

Addresses

Primary practice location

15825 SE 13TH St
Bellevue, WA 98008-5016

Mailing address

15825 SE 13TH St
Bellevue, WA 98008-5016
Phone (206) 795-3546

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LL00001801WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1124345145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 SE 13TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085016",
            "telephone_number": "206-795-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 SE 13TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085016",
            "telephone_number": "206-795-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE-GOLDMAN",
        "first_name": "JUDY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 29, 2010; 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.