Active NPI
Catherine Lynn Mullin, SLPA
- Speech-Language Assistant
- Bridgeport, WA
National Provider Identifier
1295073856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SP60246219
- Practice address
- 1400 Tacoma Ave.
Bridgeport School District
Bridgeport, WA 98813 - Phone
- (509) 686-5656
- Fax
- (509) 686-2221
- NPI assigned
- Jan 16, 2013
- Last updated
- Jan 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | SP60246219 | WA | Primary |
Addresses
Primary practice location
1400 Tacoma Ave.
Bridgeport School District
Bridgeport, WA 98813
Mailing address
430 Olds Station Rd.
P.O. Box 1847
Wenatchee, WA 98801
Phone (509) 665-2610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP60246219 | Other | WA | SLPA CERTIFICATION |
Other names 1
- Catherine L Henry
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 |
|---|---|---|---|
| SP60246219 | WA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Central Educational Service District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Wenatchee, WA
- NPI 1174037550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1295073856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 OLDS STATION RD.",
"address_2": "P.O. BOX 1847",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"telephone_number": "509-665-2610",
"fax_number": "509-662-9027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 TACOMA AVE.",
"address_2": "BRIDGEPORT SCHOOL DISTRICT",
"city": "BRIDGEPORT",
"state": "WA",
"postal_code": "98813",
"telephone_number": "509-686-5656",
"fax_number": "509-686-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "CATHERINE",
"middle_name": "LYNN",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "WA",
"license": "SP60246219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLPA CERTIFICATION",
"identifier": "SP60246219",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "HENRY",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bridgeport, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.