Individual provider Active NPI

Baillie Lynn Murray, MS

  • Speech-Language Pathologist
  • Castle Rock, CO
National Provider Identifier
1194433698
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61353819 Issued in WA
Practice address
3960 Trail Boss LN
Castle Rock, CO 80104-7518
Phone
(303) 387-8000
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 61353819 WA Primary

Addresses

Primary practice location

3960 Trail Boss LN
Castle Rock, CO 80104-7518

Mailing address

3960 Trail Boss LN
Castle Rock, CO 80104-7518
Phone (303) 387-8000

Other practice location 1

18531 Noll Rd NE
Poulsbo, WA 98370-8736
Phone (360) 396-3621

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
61353819WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Handprints Outpatient Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1194433698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 TRAIL BOSS LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047518",
            "telephone_number": "303-387-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 TRAIL BOSS LN",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047518",
            "telephone_number": "303-387-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18531 Noll Rd NE",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983708736",
            "country_code": "US",
            "telephone_number": "360-396-3621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "BAILLIE",
        "middle_name": "LYNN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61353819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.