Individual provider Active NPI

Patricia Cahill Haelsig, CCC-SLP

  • Speech-Language Pathologist
  • Bainbridge Island, WA
National Provider Identifier
1174782866
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00004499 Issued in WA
Practice address
11290 Sunrise Dr NE
Bainbridge Island, WA 98110-1353
Phone
(206) 780-7782
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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 LL00004499 WA Primary

Addresses

Primary practice location

11290 Sunrise Dr NE
Bainbridge Island, WA 98110-1353

Mailing address

PO Box 11704
Bainbridge Island, WA 98110-5704
Phone (206) 780-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LL00004499WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1174782866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11704",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105704",
            "telephone_number": "206-780-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11290 SUNRISE DR NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101353",
            "telephone_number": "206-780-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAELSIG",
        "first_name": "PATRICIA",
        "middle_name": "CAHILL",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.