Individual provider Active NPI

Sandra Bibiana Molano, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Olympia, WA
National Provider Identifier
1326109638
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60241541 Issued in WA
Practice address
108 22ND Ave SW Ste 14
Olympia, WA 98501-2871
Phone
(360) 943-1180
Fax
(360) 943-3494
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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 LL60241541 WA Primary

Addresses

Primary practice location

108 22ND Ave SW Ste 14
Olympia, WA 98501-2871

Mailing address

PO Box 93
McKenna, WA 98558-0093
Phone (253) 279-2424

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LL60241541WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Braswell Doss LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1326109638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "MCKENNA",
            "state": "WA",
            "postal_code": "985580093",
            "telephone_number": "253-279-2424",
            "fax_number": "360-943-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 22ND AVE SW STE 14",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012871",
            "telephone_number": "360-943-1180",
            "fax_number": "360-943-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLANO",
        "first_name": "SANDRA",
        "middle_name": "BIBIANA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60241541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.