Individual provider Active NPI

Akash Chikkaveeraiah

  • Speech-Language Pathologist
  • Lakewood, WA
National Provider Identifier
1376304485
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI61487538 Issued in WA
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

Updated by the provider on Jan 17, 2024

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 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

LicenseStateTypeSpecialty
SI61487538WAMDSpeech-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.

Verify at the official NPI Registry.