Active NPI
Kali Elizabeth Glynn, SPEECH THERAPIST
- Speech-Language Pathologist
- Mill Creek, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00004438
- Practice address
- 16030 Bothell Everett Hwy Ste 140
Mill Creek, WA 98012-1273 - Phone
- (425) 338-9005
- Fax
- (425) 337-0931
- NPI assigned
- Jul 19, 2010
- 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 | LL00004438 | WA | Primary |
Addresses
Primary practice location
16030 Bothell Everett Hwy Ste 140
Mill Creek, WA 98012-1273
Mailing address
16030 Bothell Everett Hwy Ste 140
Mill Creek, WA 98012-1273
Phone (425) 338-9005
Other practice location 1
18504 Bothell Way NE
Bothell, WA 98011-1927
Phone (425) 481-1933
Other names 1
- Kali Elizabeth White
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00004438 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Current | Accepting new patients | |
| Integrated Rehabilitation Group, PC | Current | Accepting new patients |
Locations
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
16030 Bothell Hwy
Ste 140
Mill Creek, WA 98012
Phone (425) 338-9005
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1407169410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16030 BOTHELL EVERETT HWY STE 140",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121273",
"telephone_number": "425-338-9005",
"fax_number": "425-337-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16030 BOTHELL EVERETT HWY STE 140",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121273",
"telephone_number": "425-338-9005",
"fax_number": "425-337-0931"
}
],
"practiceLocations": [
{
"address_1": "18504 Bothell Way NE",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980111927",
"country_code": "US",
"telephone_number": "425-481-1933",
"fax_number": "425-481-1933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLYNN",
"first_name": "KALI",
"middle_name": "ELIZABETH",
"credential": "SPEECH THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00004438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KALI",
"last_name": "WHITE",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.