Individual provider Active NPI

Penny Alissa Tonn, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Seattle, WA
National Provider Identifier
1346747557
Registry record updated Jan 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60840634 Issued in WA
Practice address
3417 Evanston Ave N
Seattle, WA 98103-8626
Phone
(307) 299-9601
NPI assigned
Apr 12, 2018
Last updated
Jan 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2023

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 LL60840634 WA Primary

Addresses

Primary practice location

3417 Evanston Ave N
Seattle, WA 98103-8626

Mailing address

10212 41St Ave SW
Seattle, WA 98146-1109
Phone (307) 299-9601

Other practice location 1

10212 41st Ave SW
Seattle, WA 98146-1109
Phone (307) 299-9601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427002699 WA Practitioner - Qualified Speech Language Pathologist 5395100275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LL60840634WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Apr 13, 2023 Accepting new patients
Multicare Health System CurrentSince Apr 13, 2023 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672531200000",
    "number": "1346747557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 41ST AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461109",
            "telephone_number": "307-299-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038626",
            "telephone_number": "307-299-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10212 41st Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981461109",
            "country_code": "US",
            "telephone_number": "307-299-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONN",
        "first_name": "PENNY",
        "middle_name": "ALISSA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60840634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.