Active NPI
Pure Speech Pathology LLC
- Speech-Language Pathologist
- Lynnwood, WA
National Provider Identifier
1124644026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- PURE SPEECH PATHOLOGY LLC
- Practice address
- 19105 36TH Ave W Ste 206
Lynnwood, WA 98036-5760 - Phone
- (904) 290-3979
- Fax
- (425) 215-0028
- NPI assigned
- Jun 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Crum, M.S., CCC-SLP
- Title
- Owner
- Phone
- (904) 290-3979
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
19105 36TH Ave W Ste 206
Lynnwood, WA 98036-5760
Mailing address
19105 36TH Ave W Ste 206
Lynnwood, WA 98036-5760
Phone (904) 290-3979
National Provider Directory
National Provider DirectoryLocations
19105 36th Ave W
Ste 206
Lynnwood, WA 98036
Phone (425) 771-0970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Lynnwood, WA
- NPI 1932616166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1124644026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19105 36TH AVE W STE 206",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365760",
"telephone_number": "904-290-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19105 36TH AVE W STE 206",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365760",
"telephone_number": "904-290-3979",
"fax_number": "425-215-0028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE SPEECH PATHOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-17",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "CRUM",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-290-3979",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.