Individual provider Active NPI

Zayra Enid Marrero - Burgos

  • Speech-Language Pathologist
  • Auburn, WA
National Provider Identifier
1205186749
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60281846 Issued in WA
Practice address
915 4TH St NE
Auburn, WA 98002-4452
Phone
(253) 931-4927
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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 LL60281846 WA Primary

Addresses

Primary practice location

915 4TH St NE
Auburn, WA 98002-4452

Mailing address

307 NE Thornton PL Apt 221
Seattle, WA 98125-8040
Phone (206) 351-6585

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

LicenseStateTypeSpecialty
LL60281846WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1205186749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 NE THORNTON PL APT 221",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258040",
            "telephone_number": "206-351-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 4TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024452",
            "telephone_number": "253-931-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO - BURGOS",
        "first_name": "ZAYRA",
        "middle_name": "ENID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60281846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.