Active NPI
Leah Marie Koch, MA, CCC-SLP
- Speech-Language Pathologist
- Medical Lake, WA
National Provider Identifier
1417466343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60792815
- Practice address
- 317 N Broad St
Medical Lake, WA 99022-8763 - Phone
- (509) 565-3426
- NPI assigned
- Sep 22, 2017
- 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 | LL60792815 | WA | Primary |
Addresses
Primary practice location
317 N Broad St
Medical Lake, WA 99022-8763
Mailing address
17016 E Indiana Pkwy Apt C310
Spokane Valley, WA 99016-5242
Phone (203) 815-4901
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 |
|---|---|---|---|
| LL60792815 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506038400000",
"number": "1417466343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17016 E INDIANA PKWY APT C310",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990165242",
"telephone_number": "203-815-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N BROAD ST",
"city": "MEDICAL LAKE",
"state": "WA",
"postal_code": "990228763",
"telephone_number": "509-565-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "LEAH",
"middle_name": "MARIE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2017-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60792815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medical Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.