Organization Active NPI

Fidalgo Speech & Language Therapy, L.L.C.

  • Speech-Language Pathologist
  • Oak Harbor, WA
National Provider Identifier
1295175974
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
602757611 Issued in WA
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

Updated by the provider on Jun 26, 2013

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.