Jeanine M Coghlan, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60324558 Issued in WA

Practice address

12325 E Grace Ave
Spokane Valley, WA 99216-1151

Phone

(509) 241-5525

NPI assigned

Jan 23, 2013

Last updated

Jan 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1437497518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "OTIS ORCHARDS",
            "state": "WA",
            "postal_code": "990270701",
            "telephone_number": "509-999-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 E GRACE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161151",
            "telephone_number": "509-241-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGHLAN",
        "first_name": "JEANINE",
        "middle_name": "M",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60324558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua River Cochran, DMD
• Rebecca Michelle Cocklereece, LMP
• Kelsey Codd, LMT
• Dian Lynn Cogdill, LMP
• Cogent Medicine PNW, PLLC
• Dylanie Cole
• Kimberly Erin Cole
• Spencer Cole, RN
• Cheri Colean, MSW, LICSW
• Prosparetti Coleman

• Speech-Language Pathologist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.