Individual provider Active NPI

Suzanne Gowdy Lee

  • Speech-Language Pathologist
  • Longview, WA
National Provider Identifier
1376663971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001939 Issued in WA
Practice address
1655 Hudson St
Suite I
Longview, WA 98632-2949
Phone
(360) 423-8310
Fax
(360) 425-4450
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LL00001939 WA Primary

Addresses

Primary practice location

1655 Hudson St
Suite I
Longview, WA 98632-2949

Mailing address

2304 Hemlock St
Longview, WA 98632-2732
Phone (360) 423-6809

Other identifiers 1

IdentifierTypeStateIssuer
00075960OtherASHS CERT.CLINICAL COMP

Other names 1

  • Suzanne Gowdy Weed Professional name

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
LL00001939WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376663971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 HEMLOCK ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322732",
            "telephone_number": "360-423-6809",
            "fax_number": "360-425-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 HUDSON ST",
            "address_2": "SUITE I",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322949",
            "telephone_number": "360-423-8310",
            "fax_number": "360-425-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUZANNE",
        "middle_name": "GOWDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHS CERT.CLINICAL COMP",
            "identifier": "00075960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "WEED",
            "middle_name": "GOWDY",
            "credential": "M.A., CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.