Audrie Beth Luczek, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

559558B Issued in WA

Practice address

601 Crawford St
Kelso, WA 98626-4315

Phone

(360) 501-1900

NPI assigned

Sep 2, 2020

Last updated

Sep 23, 2023By 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

Other names 1

• Ms. Audrie Beth Weston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Bookmark Speech, Language, & Literacy Services, PLLC.

  • Hearing and Speech Clinic/Center
  • Vancouver, WA
  • NPI 1124807771
  NPD Authorized official

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1487268884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 NE 130TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986864932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CRAWFORD ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264315",
            "telephone_number": "360-501-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZEK",
        "first_name": "AUDRIE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "559558B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDRIE",
            "last_name": "WESTON",
            "middle_name": "BETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Longview Radiologists, P.S. Inc.
• Melody Kay Lorenzo
• Ryan Lorenzo, CDPT
• Love Overwhelming (Kelso Foursquare Church)
• Olivia E Lovely, LMHC
• Cathy Ludahl, CDP
• Luxottica Retail North America Inc (Sears Optical #C0092)
• Sathana Mam, RPH, PHARM.D
• Sara Marin
• Jill C Martin, CCC-SLP

• Speech-Language Pathologist in Kelso, WA
• Providers in Kelso, 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 Sep 23, 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.

Verify at the official NPI Registry.