Organization Active NPI

Newman Kennedy Speech and Language Center

  • Community/Behavioral Health Agency
  • Mount Vernon, WA
National Provider Identifier
1235459272
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LL00001164 Issued in WA
Legal business name
NEWMAN KENNEDY SPEECH AND LANGUAGE CENTER
Practice address
1501 Parker Way
Suite 104
Mount Vernon, WA 98273-2599
Phone
(360) 424-9645
Fax
(360) 428-3915
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. Linda L Newman-Kennedy, PH.D.
Title
Owner
Phone
(360) 424-9645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LL00001164 WA Primary

Addresses

Primary practice location

1501 Parker Way
Suite 104
Mount Vernon, WA 98273-2599

Mailing address

1501 Parker Way
Suite 104
Mount Vernon, WA 98273-2599
Phone (360) 424-9645

Other identifiers 1

IdentifierTypeStateIssuer
8369167MedicaidWA

National Provider Directory

National Provider Directory

Locations

1501 Parker Way
Ste 104
Mount Vernon, WA 98273
Phone (360) 424-9645

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1235459272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PARKER WAY",
            "address_2": "SUITE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732599",
            "telephone_number": "360-424-9645",
            "fax_number": "360-428-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PARKER WAY",
            "address_2": "SUITE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732599",
            "telephone_number": "360-424-9645",
            "fax_number": "360-428-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWMAN KENNEDY SPEECH AND LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "NEWMAN-KENNEDY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-424-9645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "LL00001164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8369167",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.