Individual provider Active NPI

Abigal Lynn Parris, SPEECH

  • Speech-Language Pathologist
  • Bothell, WA
National Provider Identifier
1447553078
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI60184342 Issued in WA
Practice address
18504 Bothell Way NE
Bothell, WA 98011-1927
Phone
(425) 481-1933
Fax
(425) 481-9371
NPI assigned
Dec 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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 SI60184342 WA Primary

Addresses

Primary practice location

18504 Bothell Way NE
Bothell, WA 98011-1927

Mailing address

18504 Bothell Way NE
Bothell, WA 98011-1927
Phone (425) 481-1933

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

State licenses

LicenseStateTypeSpecialty
SI60184342WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1447553078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18504 BOTHELL WAY NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111927",
            "telephone_number": "425-481-1933",
            "fax_number": "425-481-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18504 BOTHELL WAY NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111927",
            "telephone_number": "425-481-1933",
            "fax_number": "425-481-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRIS",
        "first_name": "ABIGAL",
        "middle_name": "LYNN",
        "credential": "SPEECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI60184342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.