Rebecca Gnezdova, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61477474 Issued in WA

Practice address

15214 E 20TH Ave
Spokane Valley, WA 99037-8015

Phone

(509) 688-3362

NPI assigned

Sep 21, 2023

Sex

Female

Sole proprietor

Yes

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1285413039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15214 E 20TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378015",
            "telephone_number": "509-688-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15214 E 20TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378015",
            "telephone_number": "509-688-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNEZDOVA",
        "first_name": "REBECCA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61477474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Stuart Givens, MD
• Renae Glantz, PT
• Steven Anthony Glenn, CDP
• Marisa Glesk
• Sarah Anne Gmeiner, L.M.P.
• Michelle Goaslind-Rogalski, LMT
• Omar Enrique Godinez
• Leonie Goertzen
• Maivnkauj Zoe Goertzen
• Lily Goettel

• Speech-Language Pathologist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.