Active NPI
Linda Ann Raquer, MA CCC SLP
- Speech-Language Pathologist
- Poulsbo, WA
National Provider Identifier
1396080362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL 00003249
- Practice address
- 18360 Caldart Ave NE
Poulsbo, WA 98370-8775 - Phone
- (360) 779-8700
- NPI assigned
- Dec 3, 2012
- Sex
- Female
- 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 | LL 00003249 | WA | Primary |
Addresses
Primary practice location
18360 Caldart Ave NE
Poulsbo, WA 98370-8775
Mailing address
18360 Caldart Ave NE
Poulsbo, WA 98370-8775
Phone (360) 394-2610
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL 00003249 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1396080362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18360 CALDART AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983708775",
"telephone_number": "360-394-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18360 CALDART AVE NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983708775",
"telephone_number": "360-779-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAQUER",
"first_name": "LINDA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL 00003249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.