Pacific Pediatric Feeding Team

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PACIFIC PEDIATRIC FEEDING TEAM

Practice address

400 E Evergreen Blvd Ste 207
Vancouver, WA 98660-3264

Phone

(971) 236-2831

Fax

(360) 991-0016

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Joanna Rasmussen, SLPNPI 1790945681

Title

Speech Pathologist, Owner

Phone

(971) 236-2831

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Joanna Rasmussen, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Vancouver, WA
  • NPI 1790945681
  NPD Authorized official
• Hannah M Blake, SLP-A

  • Speech-Language Assistant
  • Vancouver, WA
  • NPI 1720799026
  NPD (past)

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1164039640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 207",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603264",
            "telephone_number": "971-236-2831",
            "fax_number": "360-991-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 207",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603264",
            "telephone_number": "971-236-2831",
            "fax_number": "360-991-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PEDIATRIC FEEDING TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "971-236-2831",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "speechandnutrition@pacificpediatricfeedingteam.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "address_1": "400 E Evergreen Blvd Ste 207",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986603264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pacific Northwest Renal Services, L.L.C.
• Pacific Northwest Renal Services, L.L.C.
• Pacific Northwest Specialty Pharmacy LLC
• Pacific NW Relational Therapy, PLLC
• Pacific Optical Inc
• Pacific Phoenix Group PLLC
• Pacific Surgical Specialists LLC
• Pacific Surgical Specialists, PLLC
• Pacific Trillium Counseling LLC
• Pacifica Sylvan Park LLC

• Multi-Specialty Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.