NPIMap

Organization Active NPI

Sammamish Children'S Therapy

  • Speech-Language Pathologist
  • Issaquah, WA
National Provider Identifier
1285846600
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00002798 Issued in WA
Legal business name
SAMMAMISH CHILDREN'S THERAPY
Practice address
3707 Providence Point Dr SE
Suite C
Issaquah, WA 98029-6216
Phone
(425) 557-6657
Fax
(425) 557-4409
NPI assigned
May 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lisa Ann Sannes, M.S.
Title
Owner
Phone
(425) 557-6657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X LL00002798 WA Primary

Addresses

Primary practice location

3707 Providence Point Dr SE
Suite C
Issaquah, WA 98029-6216

Mailing address

3707 Providence Point Dr SE
Suite C
Issaquah, WA 98029-6216
Phone (425) 557-6657

National Provider Directory

National Provider Directory

Locations

3707 Providence Point Dr SE
Ste C
Issaquah, WA 98029
Phone (425) 557-6657

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285846600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 PROVIDENCE POINT DR SE",
            "address_2": "SUITE C",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296216",
            "telephone_number": "425-557-6657",
            "fax_number": "425-557-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 PROVIDENCE POINT DR SE",
            "address_2": "SUITE C",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980296216",
            "telephone_number": "425-557-6657",
            "fax_number": "425-557-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMAMISH CHILDREN'S THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANNES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-557-6657",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.