Active NPI
Peggy L. Trummell, SLP
- Speech-Language Pathologist
- Fife, WA
National Provider Identifier
1467586867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00002905
- Practice address
- 5802 20TH St E
Fife, WA 98424-2030 - Phone
- (253) 517-1400
- Fax
- (253) 517-1055
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00002905 | WA | Primary |
Addresses
Primary practice location
5802 20TH St E
Fife, WA 98424-2030
Mailing address
3010 S Melrose St
Tacoma, WA 98405-2465
Phone (253) 517-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910598109 | Other | WA | TAX IDENTIFICATION NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL00002905 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1467586867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 S MELROSE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052465",
"telephone_number": "253-517-1400",
"fax_number": "253-517-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5802 20TH ST E",
"city": "FIFE",
"state": "WA",
"postal_code": "984242030",
"telephone_number": "253-517-1400",
"fax_number": "253-517-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMMELL",
"first_name": "PEGGY",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00002905",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "910598109",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fife, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.