Individual provider Active NPI

Lauryn Avery Wellbrock

  • Speech-Language Assistant
  • Mount Vernon, WA
National Provider Identifier
1477401420
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SP70055225 Issued in WA
Practice address
1514 S Laventure Rd
Mount Vernon, WA 98274-6034
Phone
(360) 428-6125
NPI assigned
Mar 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SP70055225 WA Primary

Addresses

Primary practice location

1514 S Laventure Rd
Mount Vernon, WA 98274-6034

Mailing address

1321 St.Paul Street
Bellingham, WA 98229

Other practice location 1

3100 E Martin Rd
Mount Vernon, WA 98273-8612
Phone (360) 428-6138

Other practice location 2

400 53rd St
Mount Vernon, WA 98273-7800
Phone (360) 428-6199

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
SP70055225WAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1477401420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 ST.PAUL STREET",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 S LAVENTURE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982746034",
            "telephone_number": "360-428-6125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 E Martin Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982738612",
            "country_code": "US",
            "telephone_number": "360-428-6138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 53rd St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982737800",
            "country_code": "US",
            "telephone_number": "360-428-6199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLBROCK",
        "first_name": "LAURYN",
        "middle_name": "AVERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP70055225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.