Individual provider Active NPI

Athina Maganzini, SLP

  • Speech-Language Pathologist
  • Seattle, WA
National Provider Identifier
1386048387
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60637383 Issued in WA
Practice address
1625 19TH Ave
Seattle, WA 98122-2848
Phone
(206) 323-5770
Fax
(206) 328-6871
NPI assigned
Oct 20, 2014
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 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 LL60637383 WA Primary

Addresses

Primary practice location

1625 19TH Ave
Seattle, WA 98122-2848

Mailing address

1625 19TH Ave
Seattle, WA 98122-2848
Phone (206) 323-5770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160722000455 WA Practitioner - Qualified Speech Language Pathologist 7315230703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL60637383WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing, Speech & Deafness Center Current Accepting new patients
Minds in Motion Children's Center LLC Past Accepting new patients

Locations

1625 19th Ave
Seattle, WA 98122
Phone (206) 323-5770

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1386048387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 19TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222848",
            "telephone_number": "206-323-5770",
            "fax_number": "206-328-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 19TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222848",
            "telephone_number": "206-323-5770",
            "fax_number": "206-328-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANZINI",
        "first_name": "ATHINA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60637383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.