This Little Light SLP, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

THIS LITTLE LIGHT SLP, LLC

Practice address

13607 E Sprague Avenue
Spokane Valley, WA 99216-0809

Phone

(509) 991-3064

Fax

(877) 775-2543

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Deeanne Nielsen, MA, CCC/SLPNPI 1306096839

Title

SLP/Owner

Phone

(509) 991-3064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Deeanne Nielsen, M.A., CCC/SLP

  • Speech-Language Pathologist
  • Spokane, WA
  • NPI 1306096839
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1124740550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13607 E SPRAGUE AVENUE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160809",
            "telephone_number": "509-991-3064",
            "fax_number": "877-775-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13607 E SPRAGUE AVENUE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160809",
            "telephone_number": "509-991-3064",
            "fax_number": "877-775-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIS LITTLE LIGHT SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "DEEANNE",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "509-991-3064",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciree Laray Theisen, LMP
• Roman E Theisen, NBC HIS
• Therapeutic Associates Inc
• Erin Thiefault
• Kaylynn Thieschafer-Ritchie
• Stephanie Thoet
• Thomas M Ryan, MD,
• Annette Thomas
• Conrad Thomas
• Jessica Thomas

• Hearing and Speech Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Hearing and Speech Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.