Individual provider Active NPI

Ashlyn Midori Yamane, MS

  • Speech-Language Pathologist
  • Pullman, WA
National Provider Identifier
1295620821
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL70016497 Issued in WA
Practice address
1620 SE Summit CT
Pullman, WA 99163-5540
Phone
(509) 332-5106
NPI assigned
Jun 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL70016497 WA Primary

Addresses

Primary practice location

1620 SE Summit CT
Pullman, WA 99163-5540

Mailing address

1620 SE Summit CT
Pullman, WA 99163-5540
Phone (503) 332-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826004543 WA Practitioner - Qualified Speech Language Pathologist 4981104502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Washington State University Elson S Floyd College of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

840 SE Bishop Blvd
Suite 103
Pullman, WA 99163-5502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LL70016497WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County Speech-Language Pathologist CurrentSince Aug 1, 2025 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Aug 1, 2025 Accepting new patients
Public Hospital District # 1-a Past Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

1620 SE Summit Ct
Pullman, WA 99163
Phone (509) 332-5106

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

840 SE Bishop Blvd
Ste 103
Pullman, WA 99163
Phone (509) 336-7300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1295620821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SE SUMMIT CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635540",
            "telephone_number": "503-332-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SE SUMMIT CT",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635540",
            "telephone_number": "509-332-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANE",
        "first_name": "ASHLYN",
        "middle_name": "MIDORI",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL70016497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.