Javiera P. Henriquez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

61159991 Issued in WA

Practice address

820 NW 95TH St
Seattle, WA 98117-2207

Phone

(206) 782-0100

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Javiera P. Henriquez-Vargas Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1366076549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23220 113TH PL SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980313468",
            "telephone_number": "541-217-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NW 95TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981172207",
            "telephone_number": "206-782-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4554 W 48th St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "MI",
            "postal_code": "494128721",
            "country_code": "US",
            "telephone_number": "231-924-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "JAVIERA",
        "middle_name": "P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61159991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIERA",
            "last_name": "HENRIQUEZ-VARGAS",
            "middle_name": "P.",
            "credential": "OTHER LAST NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dori Jane Henrickson
• Rachael S Henrie, O.D.
• Elaine Henriksen, ARNP
• Stephanie L Henriksen, PTA
• Alicia Fernanda Henriquez, MD
• Kimberly Dajanna Henriquez
• Henry Phan
• Allyson I Henry, MA
• Amy J Henry
• Carol Janet Henry, PH.D.

• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; 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.