Kierra Lashelle Abraham – Speech-Language Pathologist

Key facts

NPI: 1346928835
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: SLP.LL.61432258 (WA)
Practice address: 13010 NE 20TH St Ste 300
Bellevue, WA 98005-2054
Phone: (425) 657-0620
NPI assigned: Jul 6, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Lakeside Center for Autism, LLC Speech-Language Pathologist · Bellevue, WA · NPI 1588802953

NPD SPEECH-LANGUAGE PATHOLOGIST
Ican America Multi-Specialty Clinic/Center · Phoenix, AZ · NPI 1508325929

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

State licenses

License	State	Type	Specialty
SLP.LL.61432258	WA	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Lakeside Center for Autism, LLC	Speech-Language Pathologist	Current since Jul 9, 2023	Accepting new patients
Ican America		Past since Jul 9, 2023	Accepting new patients

Locations

5150 Village Park Dr SE
Bellevue, WA 98006
Phone (425) 502-8245

13010 NE 20th St
Ste 300
Bellevue, WA 98005
Phone (425) 644-6328

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	SLP.LL.61432258	WA	Yes

Addresses

Primary practice location

13010 NE 20TH St Ste 300
Bellevue, WA 98005-2054

Mailing address

5150 Village Park Dr SE
Bellevue, WA 98006-6652

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 6, 2023.

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1346928835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE PARK DR SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 NE 20TH ST STE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052054",
            "telephone_number": "425-657-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "KIERRA",
        "middle_name": "LASHELLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SLP.LL.61432258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

All providers in Bellevue, WA · Speech-Language Pathologist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.