Siobhan Larsen Nelson, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60890268 Issued in WA

Practice address

1306 Dupont St
Bellingham, WA 98225-3118

Phone

(360) 676-6400

NPI assigned

Jan 27, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Siobhan Ann Larsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684627200000",
    "number": "1164845160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 DUPONT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 DUPONT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253118",
            "telephone_number": "360-676-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "SIOBHAN",
        "middle_name": "LARSEN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60890268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIOBHAN",
            "last_name": "LARSEN",
            "middle_name": "ANN",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Nelson, CDP-T
• Lindsay D'Amico Nelson, ANP
• Lisa Jayne Nelson, PHARMD
• Margie Lynne Nelson, MC
• Sarah R. Nelson, LMT
• Sokanha K Nelson
• Sophia Isabella Nelson, LMT
• Tyler Freedell Nelson, MD
• Ward Nelson
• Zachary Nelson

• Speech-Language Pathologist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; 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.