Randi Melia Mayon, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003073 Issued in WA

Practice address

1407 Boalch Ave NW
North Bend, WA 98045-7994

Phone

(425) 888-2777

Fax

(425) 888-2010

NPI assigned

Apr 16, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Encompass Northwest

  • Developmental Disabilities Clinic/Center
  • Snoqualmie, WA
  • NPI 1346389053

  Speech-Language Pathologist

  NPD (past)
• Mountain View Pediatric Speech & Language

  • Speech-Language Pathologist
  • North Bend, WA
  • NPI 1730217084
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174748867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 33RD AVE NE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980293601",
            "telephone_number": "425-793-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 BOALCH AVE NW",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980457994",
            "telephone_number": "425-888-2777",
            "fax_number": "425-888-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYON",
        "first_name": "RANDI",
        "middle_name": "MELIA",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Nekae Martin, CBT
• Jill Dianne Massengill, D.C.
• Scott Alexander Massengill, D.C.
• Tanya Maw
• Bree Laroy May, MSW, LMHC
• Cailen McDevitt
• Matthew McDuffie
• Michele L. McRae, RN
• Christa Louise McVicker, LMP
• Jean Marie Medina, CPC

• Speech-Language Pathologist in North Bend, WA
• Providers in North Bend, 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 Jul 8, 2007; 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.