Active NPI
Maggie Nuese, SLP
- Speech-Language Pathologist
- Olympia, WA
National Provider Identifier
1174919922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60538292
- Practice address
- 2401 Bristol CT SW Ste D103
Olympia, WA 98502-6037 - Phone
- (360) 357-3339
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL60538292 | WA | Primary |
Addresses
Primary practice location
2401 Bristol CT SW Ste D103
Olympia, WA 98502-6037
Mailing address
812 S 6TH Ave SW
Tumwater, WA 98512-6817
Phone (360) 402-9241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL60538292 | Other | WA | STATE HEALTH LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL60538292 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428451200000",
"number": "1174919922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 S 6TH AVE SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985126817",
"telephone_number": "360-402-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 BRISTOL CT SW STE D103",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985026037",
"telephone_number": "360-357-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUESE",
"first_name": "MAGGIE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2015-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60538292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE HEALTH LICENSE",
"identifier": "LL60538292",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.