Individual provider Active NPI

Janice A Smith, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bellingham, WA
National Provider Identifier
1427170711
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001323 Issued in WA
Practice address
Wwu, Dept. of Comm Sciences and Disorders
516 High St
Bellingham, WA 98225-9078
Phone
(360) 650-3197
Fax
(360) 650-2943
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LL00001323 WA Primary

Addresses

Primary practice location

Wwu, Dept. of Comm Sciences and Disorders
516 High St
Bellingham, WA 98225-9078

Mailing address

1400 23Rd St
Bellingham, WA 98225-7234
Phone (360) 650-3197

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 Science

State licenses

LicenseStateTypeSpecialty
LL00001323WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington University Past Accepting new patients
Western Washington University Student Health Center 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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427170711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 23RD ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257234",
            "telephone_number": "360-650-3197",
            "fax_number": "360-650-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WWU, DEPT. OF COMM SCIENCES AND DISORDERS",
            "address_2": "516 HIGH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982259078",
            "telephone_number": "360-650-3197",
            "fax_number": "360-650-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANICE",
        "middle_name": "A",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.