Individual provider Active NPI

Mercedes Demartini

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1164075800
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61077307 Issued in WA
Practice address
528 E Spokane Falls Blvd Ste 29B
Spokane, WA 99202-5904
Phone
(509) 435-0481
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP-3945 ID
Speech-Language Pathologist 235Z00000X WA
Speech-Language Pathologist 235Z00000X LL61077307 WA Primary

Addresses

Primary practice location

528 E Spokane Falls Blvd Ste 29B
Spokane, WA 99202-5904

Mailing address

528 E Spokane Falls Blvd Ste 29B
Spokane, WA 99202-5904
Phone (509) 435-0481

Other practice location 1

310 N Riverpoint Blvd
Spokane, WA 99202-1610
Phone (509) 505-7481

Other practice location 2

6588 N Cornwall St
Coeur D Alene, ID 83815-5063
Phone (415) 250-5698

Other practice location 3

411 W Haycraft Ave Ste D4
Coeur D Alene, ID 83815-8104
Phone (208) 644-2468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612001576 WA Practitioner - Qualified Speech Language Pathologist 6204308034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

412 E Spokane Falls Blvd
Spokane, WA 99202-2131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TSLP-3945IDMDSpeech-Language Pathologist
LL61077307WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bavihealth Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24571/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1164075800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E SPOKANE FALLS BLVD STE 29B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025904",
            "telephone_number": "509-435-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E SPOKANE FALLS BLVD STE 29B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025904",
            "telephone_number": "509-435-0481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N Riverpoint Blvd",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021610",
            "country_code": "US",
            "telephone_number": "509-505-7481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6588 N Cornwall St",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838155063",
            "country_code": "US",
            "telephone_number": "415-250-5698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 W Haycraft Ave Ste D4",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838158104",
            "country_code": "US",
            "telephone_number": "208-644-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMARTINI",
        "first_name": "MERCEDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-3945",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61077307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.