Active NPI
Newman Kennedy Speech and Language Center
- Community/Behavioral Health Agency
- Mount Vernon, WA
National Provider Identifier
1235459272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LL00001164
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8369167 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.