Active NPI
Monica C Manza
- Speech-Language Pathologist
- Spokane, WA
National Provider Identifier
1417115296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00004128
- Practice address
- 1801 W Broadway Ave
Spokane, WA 99201-1819 - Phone
- (509) 202-5987
- Fax
- (509) 299-5293
- NPI assigned
- May 28, 2008
- 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 | LL00004128 | WA | Primary |
Addresses
Primary practice location
1801 W Broadway Ave
Spokane, WA 99201-1819
Mailing address
1103 N Olson Hill CT
Medical Lake, WA 99022-8850
Phone (509) 299-5293
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1417115296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 N OLSON HILL CT",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990228850",
"telephone_number": "509-299-5293",
"fax_number": "509-299-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W BROADWAY AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992011819",
"telephone_number": "509-202-5987",
"fax_number": "509-299-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZA",
"first_name": "MONICA",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00004128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.