Individual provider Active NPI

Molly Whipple, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Lynnwood, WA
National Provider Identifier
1124797428
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61210898 Issued in WA
Practice address
19324 40TH Ave W Ste a
Lynnwood, WA 98036-5662
Phone
(425) 658-2400
Fax
(425) 526-5550
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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 61210898 WA Primary

Addresses

Primary practice location

19324 40TH Ave W Ste a
Lynnwood, WA 98036-5662

Mailing address

1425 NW 61St St Apt G1
Seattle, WA 98107-2985
Phone (206) 617-9067

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 Arts

State licenses

LicenseStateTypeSpecialty
61210898WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Speech and Language Services, PS Speech-Language Pathologist CurrentSince Oct 31, 2021 Accepting new patients

Locations

19324 40th Ave W
Ste A
Lynnwood, WA 98036
Phone (425) 658-2400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1124797428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 NW 61ST ST APT G1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981072985",
            "telephone_number": "206-617-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19324 40TH AVE W STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365662",
            "telephone_number": "425-658-2400",
            "fax_number": "425-526-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "MOLLY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61210898",
            "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 Sep 9, 2021; 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.