Active NPI
Judson Sydney Kane, MS, CF-SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1215243191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SI60170721
- Practice address
- 125 16TH Ave E
Seattle, WA 98112-5211 - Phone
- (206) 326-3485
- NPI assigned
- Aug 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SI60170721 | WA | Primary |
Addresses
Primary practice location
125 16TH Ave E
Seattle, WA 98112-5211
Mailing address
125 16TH Ave E
Seattle, WA 98112
Phone (206) 326-3485
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI60170721 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1215243191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 16TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98112",
"telephone_number": "206-326-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 16TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125211",
"telephone_number": "206-326-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "JUDSON",
"middle_name": "SYDNEY",
"credential": "MS, CF-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SI60170721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.