Individual provider Active NPI

Mary Kay Snedden

  • Speech-Language Pathologist
  • Shoreline, WA
National Provider Identifier
1386851343
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00003297 Issued in WA
Practice address
2402 Northwest 195TH Place
Shoreline, WA 98177-2932
Phone
(206) 364-3777
Fax
(206) 364-3999
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 LL00003297 WA Primary

Addresses

Primary practice location

2402 Northwest 195TH Place
Shoreline, WA 98177-2932

Mailing address

2402 Northwest 195TH Place
Shoreline, WA 98177-2932
Phone (206) 364-3777

Other identifiers 1

IdentifierTypeStateIssuer
7300965MedicaidWA

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
LL00003297WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderland Developmental Center Speech-Language Pathologist Past Accepting new patients
Wonderland Child & Family Services Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1386851343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 NORTHWEST 195TH PLACE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772932",
            "telephone_number": "206-364-3777",
            "fax_number": "206-364-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 NORTHWEST 195TH PLACE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772932",
            "telephone_number": "206-364-3777",
            "fax_number": "206-364-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEDDEN",
        "first_name": "MARY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7300965",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.