Individual provider Active NPI

Mary Calvin Swayze, SLP

  • Speech-Language Pathologist
  • Shoreline, WA
National Provider Identifier
1427711654
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61226767 Issued in WA
Practice address
2402 NW 195TH PL
Shoreline, WA 98177-2932
Phone
(206) 364-3777
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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 LL61226767 WA Primary

Addresses

Primary practice location

2402 NW 195TH PL
Shoreline, WA 98177-2932

Mailing address

2402 NW 195TH PL
Shoreline, WA 98177-2932
Phone (206) 800-3247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031002553 WA Practitioner - Qualified Speech Language Pathologist 0648626457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System Speech-Language Pathologist CurrentSince Sep 29, 2023 Accepting new patients
Multicare Health System CurrentSince Sep 29, 2023 Accepting new patients
Wonderland Child & Family Services Speech-Language Pathologist PastSince Oct 17, 2021 Accepting new patients
Wonderland Developmental Center Speech-Language Pathologist PastSince Oct 17, 2021 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

Organizations & group practices 5

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1427711654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 NW 195TH PL",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772932",
            "telephone_number": "206-800-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 NW 195TH PL",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772932",
            "telephone_number": "206-364-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAYZE",
        "first_name": "MARY",
        "middle_name": "CALVIN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61226767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.

Verify at the official NPI Registry.