Active NPI
Sandra Bibiana Molano, M.S., CCC-SLP
- Speech-Language Pathologist
- Olympia, WA
National Provider Identifier
1326109638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60241541
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LL60241541 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Olympia, WA
- NPI 1902086713
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.