Shanleigh Frances Sullivan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SI 60391688 Issued in WA

Practice address

35535 6TH Ave SW
Federal Way, WA 98023-8110

Phone

(253) 874-5445

Fax

(253) 874-0687

NPI assigned

Aug 8, 2013

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Birth to Three Developmental Center

  • Physical Therapy Clinic/Center
  • Federal Way, WA
  • NPI 1609936624
  NPD (past)
• Progress Center,Inc

  • Speech-Language Pathologist
  • Longview, WA
  • NPI 1497809636
  NPD (past)

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1295167567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24269",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980931269",
            "telephone_number": "253-874-5445",
            "fax_number": "253-874-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35535 6TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980238110",
            "telephone_number": "253-874-5445",
            "fax_number": "253-874-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHANLEIGH",
        "middle_name": "FRANCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI 60391688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Suing, DPT
• Afra I Sulimam
• Muneera Suliman Aljamhan
• Klent Maigue Sulit
• Nancy Leefong-Chang Sullivan, FNP
• Victoria Sultan
• Summers Chiropractic & Massage Inc
• Gloria Summers, LMT
• Gregory R Summers, LMP, DC
• Summit Performance Physical Therapy

• Speech-Language Pathologist in Federal Way, WA
• Providers in Federal Way, 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 Aug 8, 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.

Verify at the official NPI Registry.