Individual provider Active NPI

Gail M. Noble-Sanderson, SLP

  • Speech-Language Pathologist
  • Mount Vernon, WA
National Provider Identifier
1447685987
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL 00002784 Issued in WA
Practice address
19710 State Route 534
Mount Vernon, WA 98274-8026
Phone
(360) 445-5785
NPI assigned
Sep 3, 2013
Last updated
Sep 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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 LL 00002784 WA Primary

Addresses

Primary practice location

19710 State Route 534
Mount Vernon, WA 98274-8026

Mailing address

17347 W Skyridge Dr
Mount Vernon, WA 98274-7761
Phone (360) 708-1756

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
LL 00002784WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Conway School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1447685987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17347 W SKYRIDGE DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982747761",
            "telephone_number": "360-708-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 STATE ROUTE 534",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748026",
            "telephone_number": "360-445-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE-SANDERSON",
        "first_name": "GAIL",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 00002784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.