Individual provider Active NPI

Carol Lorioux Loup, MA CCC-SP

  • Speech-Language Pathologist
  • Everett, WA
National Provider Identifier
1487791794
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001555 Issued in WA
Practice address
3602 Everett Ave
Everett, WA 98201-3818
Phone
(425) 259-7285
Fax
(425) 259-6317
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00001555 WA Primary

Addresses

Primary practice location

3602 Everett Ave
Everett, WA 98201-3818

Mailing address

3602 Everett Ave
Everett, WA 98201-3818
Phone (425) 259-7285

Other identifiers 1

IdentifierTypeStateIssuer
7074966MedicaidWA

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 Arts

State licenses

LicenseStateTypeSpecialty
LL00001555WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Speech Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487791794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 EVERETT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013818",
            "telephone_number": "425-259-7285",
            "fax_number": "425-259-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 EVERETT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013818",
            "telephone_number": "425-259-7285",
            "fax_number": "425-259-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUP",
        "first_name": "CAROL",
        "middle_name": "LORIOUX",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7074966",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.