Active NPI
Madison Kay Pass, SLP-CFY
- Speech-Language Pathologist
- Bainbridge Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SI61396302
- Practice address
- 330 Madison Ave S Ste 106
Bainbridge Island, WA 98110-2544 - Phone
- (206) 451-4308
- NPI assigned
- Mar 13, 2023
- Last updated
- Mar 13, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SI61396302 | WA | Primary |
| Speech-Language Pathologist | 235Z00000X | 882 | NE |
Addresses
Primary practice location
330 Madison Ave S Ste 106
Bainbridge Island, WA 98110-2544
Mailing address
330 Madison Ave S Ste 106
Bainbridge Island, WA 98110-2544
Other practice location 1
405 N 25th St Apt 3
Lincoln, NE 68503-3010
Phone (307) 679-1098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8525 Executive Woods Dr
Suite 100
Lincoln, NE 68512-9647
Phone (402) 942-1329
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2773 | NE | MD | General Practice Physician |
| SI61396302 | WA | MD | Speech-Language Pathologist |
| 882 | NE | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schmidt Speech Language Pathology Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| The Aubin Aphasia Speech and Language Center LLC | Current | Accepting new patients | |
| Powers Physical Therapy, PLLC | Past | Accepting new patients |
Locations
8525 Executive Woods Dr
Ste 100
Lincoln, NE 68512
Phone (402) 489-2218
600 E Benjamin Ave
Norfolk, NE 68701
Phone (402) 370-3330
330 Madison Ave S
Ste 106
Bainbridge Island, WA 98110
Phone (206) 451-4308
Organizations & group practices 3
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 Therapy Works of Nebraska
- Speech-Language Pathologist
- Lincoln, NE
- NPI 1376965640
-
dba The Aubin Aphasia Center, LLC
- Hearing and Speech Clinic/Center
- Bainbridge Island, WA
- NPI 1679897995
-
- Physical Therapy Clinic/Center
- Bainbridge Island, WA
- NPI 1972824316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1184325680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MADISON AVE S STE 106",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MADISON AVE S STE 106",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102544",
"telephone_number": "206-451-4308"
}
],
"practiceLocations": [
{
"address_1": "405 N 25th St Apt 3",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685033010",
"country_code": "US",
"telephone_number": "307-679-1098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASS",
"first_name": "MADISON",
"middle_name": "KAY",
"credential": "SLP-CFY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SI61396302",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "882",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
- Pacific Eyecare of Poulsbo PS (Pacific Optical)
- Pacific Northwest Psychotherapy
- Pacific Northwest Psychotherapy
- Pamela Malo PLLC (Northstar Nutrition)
- Papaya Dental Arts PLLC
- Alexandria Paul
- Sandra Lee Paulsen, PHD
- Linda Marie Pedersen, MNARNP
- Carol Anne Pendleton, LMFTA
- Peninsula Community Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.