Active NPI
Tessa Claire Folkerts, SLP
- Speech-Language Pathologist
- Covington, WA
National Provider Identifier
1467823583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61193721
- Practice address
- 17265 SE Wax Rd Ste 105
Covington, WA 98042-9102 - Phone
- (253) 981-4133
- NPI assigned
- Oct 15, 2015
- 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 | LL61193721 | WA | Primary |
Addresses
Primary practice location
17265 SE Wax Rd Ste 105
Covington, WA 98042-9102
Mailing address
17265 SE Wax Rd
Covington, WA 98042-9102
Phone (253) 981-4133
Other practice location 1
13800 Newcastle Golf Club Rd Apt 218
Newcastle, WA 98059-3298
Phone (616) 307-9073
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 |
|---|---|---|---|
| LL61193721 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navigation Therapy Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Rock Therapeutic Services LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
17265 SE Wax Rd
Ste 105
Covington, WA 98042
Phone (253) 981-4133
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Covington, WA
- NPI 1558901843
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Maple Valley, WA
- NPI 1750667713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1467823583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17265 SE WAX RD",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980429102",
"telephone_number": "253-981-4133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17265 SE WAX RD STE 105",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980429102",
"telephone_number": "253-981-4133"
}
],
"practiceLocations": [
{
"address_1": "13800 Newcastle Golf Club Rd Apt 218",
"address_purpose": "LOCATION",
"city": "Newcastle",
"state": "WA",
"postal_code": "980593298",
"country_code": "US",
"telephone_number": "616-307-9073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOLKERTS",
"first_name": "TESSA",
"middle_name": "CLAIRE",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-15",
"last_updated": "2023-04-12",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61193721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.