Marina Sunset Flores

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SP60887723 Issued in WA

Practice address

179 Dieckman Rd
Chehalis, WA 98532-9614

Phone

(360) 748-3384

NPI assigned

Oct 18, 2021

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1487317327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 DIECKMAN RD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329614",
            "telephone_number": "360-748-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 DIECKMAN RD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329614",
            "telephone_number": "360-748-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "MARINA",
        "middle_name": "SUNSET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP60887723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "SP60887723",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mflores@esd113.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SLP services",
            "address_1": "179 Dieckman Rd",
            "city": "Chehalis",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985329614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deserie M Fillmore Hardy, MCP, CDP
• Kimberly Rene Finnell Townsend, LMHC
• Stephen R Fischer, PA-C
• Fitspa, LLC
• Andrew James Flores
• Bernice Fomunung
• Foot and Ankle Surgical Associates Inc PS
• Robert Marshall Ford, MD
• Robert Orland Ford, MD
• Dodi Forgione

• Speech-Language Assistant in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.