Active NPI
Ellen Marie Muench, SLP
- Speech-Language Pathologist
- Mount Vernon, WA
National Provider Identifier
1336283696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00004241
- Practice address
- 315 Main St Ste A1
Mount Vernon, WA 98273-3889 - Phone
- (360) 631-3458
- Fax
- (775) 417-5986
- NPI assigned
- Feb 19, 2007
- Last updated
- Jul 8, 2007
- 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 | LL00004241 | WA | Primary |
Addresses
Primary practice location
315 Main St Ste A1
Mount Vernon, WA 98273-3889
Mailing address
PO Box 1911
Marysville, WA 98270-1911
Phone (360) 631-3458
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 |
|---|---|---|---|
| LL00004241 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336283696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1911",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982701911",
"telephone_number": "360-631-3458",
"fax_number": "775-417-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MAIN ST STE A1",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982733889",
"telephone_number": "360-631-3458",
"fax_number": "775-417-5986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUENCH",
"first_name": "ELLEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00004241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
- Mount Vernon Vision Source PS Inc
- Mount Vernon Womens Clinc Inc PS
- David Michael Mourning, M.D.
- Stephen Frederick Mowery, MD
- Mt. Vernon Operations, LLC (Life Care Center of Mount Vernon)
- Abbey Mulder, OTR
- Macy M Mullen-Racca, LMT
- Jodi Lee Mullen
- Kristina L. Mullen, PAC
- Melissa Suzanne Fundora Mullen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.