Savanah Caroline Depew

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61457605 Issued in WA

Practice address

7600 5TH Ave SE
Lacey, WA 98503-1521

Phone

(360) 412-4610

NPI assigned

Nov 9, 2022

Last updated

Oct 31, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1376251249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 55TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985134606",
            "telephone_number": "360-640-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 5TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031521",
            "telephone_number": "360-412-4610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6211 Mullen Rd SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985037146",
            "country_code": "US",
            "telephone_number": "360-412-4600 x21408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPEW",
        "first_name": "SAVANAH",
        "middle_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI61325561",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61457605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Dennehy, DDS
• Kyle Lezon Dennehy, BA, AAC
• Dental Care by Design
• Dental Professionals of Washington Quirt Mongrain Gibree PC (Family Dentistry on Lacey)
• Department of Social and Health Services
• Prem Sagar Dev, N.D.
• Kathryn Dewitt
• Diamond Medical Staffing
• Nicole C Diamond, LMP
• Ashley Diaz

• Speech-Language Pathologist in Lacey, WA
• Providers in Lacey, 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 Oct 31, 2023; 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.