Individual provider Active NPI

Ana S Magallanes, M.S.

  • Speech-Language Pathologist
  • Issaquah, WA
National Provider Identifier
1346706587
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61339531 Issued in WA
Practice address
33303 SE 124TH St
Issaquah, WA 98027-8741
Phone
(206) 799-7831
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Speech-Language Pathologist 235Z00000X 61339531 WA Primary

Addresses

Primary practice location

33303 SE 124TH St
Issaquah, WA 98027-8741

Mailing address

300 S 55TH St Apt B101
Renton, WA 98055-7910
Phone (562) 293-8846

Other practice location 1

5252 Orange Ave
Cypress, CA 90630-2967
Phone (657) 213-0199 ext. 4486

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
61339531WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Therapy Services Speech-Language Pathologist PastSince Jul 31, 2022 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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1346706587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S 55TH ST APT B101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557910",
            "telephone_number": "562-293-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33303 SE 124TH ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278741",
            "telephone_number": "206-799-7831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5252 Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "CA",
            "postal_code": "906302967",
            "country_code": "US",
            "telephone_number": "657-213-0199 x4486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGALLANES",
        "first_name": "ANA",
        "middle_name": "S",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61339531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.