NPIMap

Organization Active NPI

Bear Creek Speech Therapy LLC

  • Speech-Language Pathologist
  • Woodinville, WA
National Provider Identifier
1497074272
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BEAR CREEK SPEECH THERAPY LLC
Practice address
18530 156TH Ave NE Ste 100
Woodinville, WA 98072-8409
Phone
(425) 844-1176
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Kimberley McMichaelNPI 1265668016
Title
Owner/Managing Director
Phone
(425) 844-1176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

18530 156TH Ave NE Ste 100
Woodinville, WA 98072-8409

Mailing address

18530 156TH Ave NE Ste 100
Woodinville, WA 98072-8409
Phone (425) 844-1176

National Provider Directory

National Provider Directory

Locations

18530 156th Ave NE
#100
Woodinville, WA 98072
Phone (425) 489-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1497074272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18530 156TH AVE NE STE 100",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728409",
            "telephone_number": "425-844-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18530 156TH AVE NE STE 100",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728409",
            "telephone_number": "425-844-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "MCMICHAEL",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "OWNER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "425-844-1176"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.