Individual provider Active NPI

Madison Kay Pass, SLP-CFY

  • Speech-Language Pathologist
  • Bainbridge Island, WA
National Provider Identifier
1184325680
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI61396302 Issued in WA
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20231103001967 NE Practitioner - Qualified Speech Language Pathologist 2769839315 Reassigns benefits to 1 organization

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
Schmidt Speech Language Pathology Services, LLCGroup PAC ID 7012147374, 6 clinicians

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

LicenseStateTypeSpecialty
2773NEMDGeneral Practice Physician
SI61396302WAMDSpeech-Language Pathologist
882NEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Schmidt Speech Language Pathology Services LLC Speech-Language Pathologist CurrentSince Nov 2, 2023 Accepting new patients
The Aubin Aphasia Speech and Language Center LLC CurrentSince Mar 19, 2023 Accepting new patients
Powers Physical Therapy, PLLC PastSince Mar 19, 2023 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.

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

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.

Verify at the official NPI Registry.