Active NPI
Laura Vanderlinde, SLP
- Speech-Language Pathologist
- Renton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60632599
- Practice address
- 400 S 43Rd St
Renton, WA 98055-5714 - Phone
- (425) 251-5165
- Fax
- (425) 656-4028
- NPI assigned
- Jun 6, 2011
- Last updated
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 1526 | CA | |
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | LL60632599 | WA | Primary |
Addresses
Primary practice location
400 S 43Rd St
Renton, WA 98055-5714
Mailing address
6117 N Atlantic St
Apt 2
Spokane, WA 99205-6274
Phone (509) 280-7365
Other practice location 1
6117 N Atlantic St
Apt 2
Spokane, WA 99205-6274
Phone (509) 280-7365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
580 5TH St
Suite 600
Brookings, OR 97415-8329
Phone (541) 469-7314
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1526 | CA | MD | Audiologist |
| LL60632599 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Home Health & Hospice Inc | Current | Accepting new patients | |
| Motus Physical Therapy and Associates | Current | Accepting new patients |
Locations
580 5th St
Ste 600
Brookings, OR 97415
Phone (541) 469-7314
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coastal Rehabilitation & Wellness
- Physical Therapist
- Brookings, OR
- NPI 1043375520
-
- In Home Supportive Care Agency
- Seal Beach, CA
- NPI 1770103764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1174817274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6117 N ATLANTIC ST",
"address_2": "APT 2",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992056274",
"telephone_number": "509-280-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 43RD ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980555714",
"telephone_number": "425-251-5165",
"fax_number": "425-656-4028"
}
],
"practiceLocations": [
{
"address_1": "6117 N Atlantic St",
"address_2": "Apt 2",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992056274",
"country_code": "US",
"telephone_number": "509-280-7365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERLINDE",
"first_name": "LAURA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "1526",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60632599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
- Megan Brooke Van Houten, M.S. CCC-SLP
- Tri Cong Van, PA-C
- Christine Campbell Vanbuskirk, OT
- John L Vander Heyden, MD
- Pemberley Vander Linden, MA, LMFT
- Andrea Vanderwoude
- Laura Vanlandingham, PT
- Christian Vanscherpenseel, NP
- Vantage Radiology & Diagnostic Services, a Professional Services Corp
- Daniel I. Varadi, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.