Individual provider Active NPI

Luisa Alejandra Esquivel, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Seattle, WA
National Provider Identifier
1164017885
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61089957 Issued in WA
Practice address
6022 Fauntleroy Way SW Unit B
Seattle, WA 98136-1615
Phone
(915) 274-6205
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 61089957 WA Primary

Addresses

Primary practice location

6022 Fauntleroy Way SW Unit B
Seattle, WA 98136-1615

Mailing address

6022 Fauntleroy Way SW Unit B
Seattle, WA 98136-1615
Phone (915) 274-6205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917000441 WA Practitioner - Qualified Speech Language Pathologist 3870990864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6022 Fauntleroy Way SW
Unit B
Seattle, WA 98136-1615
Phone (206) 895-1364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
61089957WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Seattle Speech and Voice CurrentSince Sep 28, 2023 Accepting new patients
The Aubin Aphasia Speech and Language Center LLC CurrentSince Sep 1, 2021 Accepting new patients
Powers Physical Therapy, PLLC PastSince Sep 1, 2021 Accepting new patients

Locations

330 Madison Ave S
Ste 106
Bainbridge Island, WA 98110
Phone (206) 451-4308

Organizations & group practices 3

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1164017885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 FAUNTLEROY WAY SW UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361615",
            "telephone_number": "915-274-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 FAUNTLEROY WAY SW UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361615",
            "telephone_number": "915-274-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIVEL",
        "first_name": "LUISA",
        "middle_name": "ALEJANDRA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61089957",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.