Individual provider Active NPI

Peggy L. Trummell, SLP

  • Speech-Language Pathologist
  • Fife, WA
National Provider Identifier
1467586867
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00002905 Issued in WA
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

Updated by the provider on Nov 20, 2012

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 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

IdentifierTypeStateIssuer
910598109OtherWATAX 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

LicenseStateTypeSpecialty
LL00002905WAMDSpeech-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.

Verify at the official NPI Registry.