Diana Gay Root, S.L.P.A.

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SP 60223140 Issued in WA

Practice address

211 Rainier Ave N.
Eatonville, WA 98328

Phone

(360) 879-1800

Fax

(360) 879-1812

NPI assigned

Jun 13, 2013

Last updated

Jun 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1215375118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "address_2": "302 RIDGE ROAD",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983280872",
            "telephone_number": "360-832-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RAINIER AVE N.",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "98328",
            "telephone_number": "360-879-1800",
            "fax_number": "360-879-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "DIANA",
        "middle_name": "GAY",
        "name_prefix": "Mrs.",
        "credential": "S.L.P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP 60223140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Assistant in Eatonville, WA
• Providers in Eatonville, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.