Active NPI
Elena Saeli
- Speech-Language Pathologist
- Shelton, WA
National Provider Identifier
1306202908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL 60615366
- Practice address
- 110 E Spencer Lake Rd
Shelton, WA 98584-7307 - Phone
- (360) 427-2737
- NPI assigned
- Jan 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 Pathologist | 235Z00000X | LL 60615366 | WA | Primary |
Addresses
Primary practice location
110 E Spencer Lake Rd
Shelton, WA 98584-7307
Mailing address
1355 W Railroad Ave Apt 7
Shelton, WA 98584-3855
Phone (360) 551-5092
Other practice location 1
2150 Fircrest Dr SE
Port Orchard, WA 98366
Phone (360) 443-3645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306202908 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Shelton | Direct |
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 |
|---|---|---|---|
| LL 60615366 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1306202908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 W RAILROAD AVE APT 7",
"city": "SHELTON",
"state": "WA",
"postal_code": "985843855",
"telephone_number": "360-551-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E SPENCER LAKE RD",
"city": "SHELTON",
"state": "WA",
"postal_code": "985847307",
"telephone_number": "360-427-2737"
}
],
"practiceLocations": [
{
"address_1": "2150 Fircrest Dr SE",
"address_purpose": "LOCATION",
"city": "Port Orchard",
"state": "WA",
"postal_code": "98366",
"country_code": "US",
"telephone_number": "360-443-3645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAELI",
"first_name": "ELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL 60615366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306202908",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Shelton",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "110 E Spencer Lake Rd",
"city": "Shelton",
"state": "WA",
"country_code": "US",
"postal_code": "985847307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.