Organization Active NPI

Pure Speech Pathology LLC

  • Speech-Language Pathologist
  • Lynnwood, WA
National Provider Identifier
1124644026
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Rachel Crum, M.S., CCC-SLPNPI 1932616166
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.