Organization Active NPI

Breakthrough Speech, LLC

  • Hearing and Speech Clinic/Center
  • Anacortes, WA
National Provider Identifier
1437721487
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
BREAKTHROUGH SPEECH, LLC
Practice address
3706 W 5TH St
Anacortes, WA 98221-1248
Phone
(206) 715-0584
Fax
(866) 418-0247
NPI assigned
Jul 10, 2021
Last updated
Jul 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

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

Authorized official

Name
Elizabeth Ann Lewis, CCC-SLPNPI 1477945558
Title
Owner
Phone
(206) 715-0584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

3706 W 5TH St
Anacortes, WA 98221-1248

Mailing address

1004 Commercial Ave # 829
Anacortes, WA 98221-4117
Phone (360) 230-8010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address libby@breakthrough-speech.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210729001098 WA Part B Supplier - Clinic/Group Practice 4880097716 Receives reassigned benefits from 2 practitioners
Practice locations: Anacortes, WA

National Provider Directory

National Provider Directory

Locations

1809 Commercial Ave
Ste 206
Anacortes, WA 98221
Phone (360) 230-8010

Interoperability endpoints

  • Direct secure messaging: libby@breakthrough-speech.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625875200000",
    "number": "1437721487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 COMMERCIAL AVE # 829",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214117",
            "telephone_number": "360-230-8010",
            "fax_number": "866-418-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 W 5TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211248",
            "telephone_number": "206-715-0584",
            "fax_number": "866-418-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-715-0584",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "libby@breakthrough-speech.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3706 W 5th St",
            "city": "Anacortes",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982211248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.