Active NPI
Akash Chikkaveeraiah
- Speech-Language Pathologist
- Lakewood, WA
National Provider Identifier
1376304485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SI61487538
- Practice address
- 10501 47TH Ave SW
Lakewood, WA 98499-3712 - Phone
- (253) 583-5320
- NPI assigned
- Jan 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SI61487538 | WA | Primary |
Addresses
Primary practice location
10501 47TH Ave SW
Lakewood, WA 98499-3712
Mailing address
9318 57TH Avenue CT SW Apt K203
Lakewood, WA 98499-7389
Phone (951) 386-9807
Other practice location 1
2410 Stryker Ave
Joint Base Lewis McChord, WA 98433-1031
Phone (253) 583-5220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI61487538 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1376304485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9318 57TH AVENUE CT SW APT K203",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984997389",
"telephone_number": "951-386-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 47TH AVE SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993712",
"telephone_number": "253-583-5320"
}
],
"practiceLocations": [
{
"address_1": "2410 Stryker Ave",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "984331031",
"country_code": "US",
"telephone_number": "253-583-5220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIKKAVEERAIAH",
"first_name": "AKASH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SI61487538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.