Rebecca Sarah Rose Black

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9901 NE 7TH Ave Ste B222
Vancouver, WA 98685-4529

Phone

(503) 806-1943

NPI assigned

Oct 24, 2013

Last updated

Mar 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1467880666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 NE 75TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986611358",
            "telephone_number": "503-806-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 NE 7TH AVE STE B222",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986854529",
            "telephone_number": "503-806-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "REBECCA",
        "middle_name": "SARAH ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Black
• Dana M Black
• David John Black, MD, MPH
• Douglas Lee Black, LMP
• Peter K Black, MD
• Sara Black, LMT
• Stephen Rockwell Black, LMHCA
• Timothy Black, PA
• Melissa Anne Blackburn
• Jennifer Rebecca Blackman, P.T.A

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.