Active NPI
Ana S Magallanes, M.S.
- Speech-Language Pathologist
- Issaquah, WA
National Provider Identifier
1346706587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 61339531
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61339531 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Therapy Services | 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": "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.