Individual provider Active NPI

Amanda Merlin, MA CCC-SLP

  • Speech-Language Pathologist
  • Olympia, WA
National Provider Identifier
1205130366
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60275170 Issued in WA
Practice address
711 Capitol Way S Ste 104
Olympia, WA 98501-1293
Phone
(360) 763-4954
NPI assigned
Jan 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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 SZ 5297 FL
Speech-Language Pathologist 235Z00000X LL60275170 WA Primary

Addresses

Primary practice location

711 Capitol Way S Ste 104
Olympia, WA 98501-1293

Mailing address

8811 Jayden LN NE
Lacey, WA 98516-8200
Phone (407) 733-6291

Other practice location 1

11715 Orpington St Ste B
Orlando, FL 32817-4600
Phone (407) 249-3344

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 Arts

State licenses

LicenseStateTypeSpecialty
SZ 5297FLMDSpeech-Language Pathologist
LL60275170WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Therapy Services NW Speech-Language Pathologist CurrentSince Nov 17, 2019 Accepting new patients
Artful Expressions Speech Therapy and Voice Training CurrentSince Jul 24, 2022 Accepting new patients
Communication Essentials Corp. Speech-Language Pathologist Past Accepting new patients

Locations

711 Capitol Way S
Ste 104
Olympia, WA 98501
Phone (360) 219-9236

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1205130366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 JAYDEN LN NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985168200",
            "telephone_number": "407-733-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 CAPITOL WAY S STE 104",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011293",
            "telephone_number": "360-763-4954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11715 Orpington St Ste B",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328174600",
            "country_code": "US",
            "telephone_number": "407-249-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERLIN",
        "first_name": "AMANDA",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 5297",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60275170",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 17, 2019; 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.