Active NPI
Fidalgo Speech & Language Therapy, L.L.C.
- Speech-Language Pathologist
- Oak Harbor, WA
National Provider Identifier
1295175974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 602757611
- Legal business name
- FIDALGO SPEECH & LANGUAGE THERAPY, L.L.C.
- Practice address
- 231 SE Barrington Dr Ste 110
Oak Harbor, WA 98277-3200 - Phone
- (360) 679-4211
- NPI assigned
- Jun 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Gorzela, M.S., CCC-SLP
- Title
- Owner/Speech Language Pathologist
- Phone
- (360) 679-4211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 602757611 | WA | Primary |
Addresses
Primary practice location
231 SE Barrington Dr Ste 110
Oak Harbor, WA 98277-3200
Mailing address
231 SE Barrington Dr Ste 110
Oak Harbor, WA 98277-3200
Phone (360) 679-4211
National Provider Directory
National Provider DirectoryLocations
231 SE Barrington Dr
Ste 110
Oak Harbor, WA 98277
Phone (360) 672-5658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372204800000",
"number": "1295175974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 SE BARRINGTON DR STE 110",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773200",
"telephone_number": "360-679-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 SE BARRINGTON DR STE 110",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773200",
"telephone_number": "360-679-4211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIDALGO SPEECH & LANGUAGE THERAPY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A",
"authorized_official_last_name": "GORZELA",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "360-679-4211",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "602757611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.