Active NPI
Kallan Wehrmeister
- Speech-Language Assistant
- Mountlake Terrace, WA
National Provider Identifier
1255009015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SP61374045
- Practice address
- 24120 Van Ry Blvd Ste 400
Mountlake Terrace, WA 98043-5459 - Phone
- (425) 412-1019
- NPI assigned
- Sep 5, 2021
- Sex
- Female
- 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 Assistant | 2355S0801X | SP61374045 | WA | Primary |
Addresses
Primary practice location
24120 Van Ry Blvd Ste 400
Mountlake Terrace, WA 98043-5459
Mailing address
24120 Van Ry Blvd Ste 400
Mountlake Terrace, WA 98043-5459
Phone (425) 412-1019
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP61374045 | WA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1255009015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24120 VAN RY BLVD STE 400",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980435459",
"telephone_number": "425-412-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24120 VAN RY BLVD STE 400",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980435459",
"telephone_number": "425-412-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEHRMEISTER",
"first_name": "KALLAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-05",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "WA",
"license": "SP61374045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.