Active NPI
Molly C Everson, MS, CCC-SLP
- Speech-Language Pathologist
- Spokane, WA
National Provider Identifier
1467884833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL 60389626
- Practice address
- 528 E Spokane Falls Blvd
Ste 401
Spokane, WA 99202-5050 - Phone
- (509) 435-0481
- Fax
- (509) 435-0485
- NPI assigned
- Aug 7, 2013
- Last updated
- Mar 17, 2014
- 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 | LL 60389626 | WA | Primary |
Addresses
Primary practice location
528 E Spokane Falls Blvd
Ste 401
Spokane, WA 99202-5050
Mailing address
PO Box 2994
Wenatchee, WA 98807-2994
Phone (509) 888-3062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7121189 | Medicaid | WA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL 60389626 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burns & Hunsaker LLC | Speech-Language Pathologist | 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": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1467884833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2994",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988072994",
"telephone_number": "509-888-3062",
"fax_number": "509-888-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 E SPOKANE FALLS BLVD",
"address_2": "STE 401",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992025050",
"telephone_number": "509-435-0481",
"fax_number": "509-435-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERSON",
"first_name": "MOLLY",
"middle_name": "C",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL 60389626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7121189",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.