Individual provider Active NPI

Julianne Zienkiewicz

  • Speech-Language Pathologist
  • Vancouver, WA
National Provider Identifier
1255053310
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61350368 Issued in WA
Practice address
14300 NE 18TH St
Vancouver, WA 98684-7899
Phone
(360) 604-3700
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL61350368 WA Primary

Addresses

Primary practice location

14300 NE 18TH St
Vancouver, WA 98684-7899

Mailing address

13413 NE Leroy Hagen Memorial Dr
Vancouver, WA 98684-5967

Other practice location 1

7825 NE 130th Ave
Vancouver, WA 98682-3316
Phone (360) 604-3400

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

LicenseStateTypeSpecialty
LL61350368WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1255053310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13413 NE LEROY HAGEN MEMORIAL DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 NE 18TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847899",
            "telephone_number": "360-604-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7825 NE 130th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986823316",
            "country_code": "US",
            "telephone_number": "360-604-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIENKIEWICZ",
        "first_name": "JULIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61350368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.