Active NPI
Tiffany Lynn Witty, M.S., CCC-SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1144465527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL 00004462
- Practice address
- 9100 5TH Ave NE
Seattle, WA 98115-2861 - Phone
- (206) 526-2662
- Fax
- (206) 729-9032
- NPI assigned
- Dec 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL 00004462 | WA | Primary |
Addresses
Primary practice location
9100 5TH Ave NE
Seattle, WA 98115-2861
Mailing address
15420 Mill Creek Blvd
Apt. S104
Mill Creek, WA 98012-1735
Phone (425) 286-3664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL 00004462 | Other | WA | WA STATE DEPARTMENT OF HEALTH |
| 12105283 | Other | WA | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL 00004462 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229040000000",
"number": "1144465527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15420 MILL CREEK BLVD",
"address_2": "APT. S104",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121735",
"telephone_number": "425-286-3664",
"fax_number": "206-729-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 5TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152861",
"telephone_number": "206-526-2662",
"fax_number": "206-729-9032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTY",
"first_name": "TIFFANY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-12",
"last_updated": "2008-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL 00004462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPARTMENT OF HEALTH",
"identifier": "LL 00004462",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
"identifier": "12105283",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.