Individual provider Active NPI

Mariya Burrows, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Edmonds, WA
National Provider Identifier
1497195150
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
10016 Edmonds Way
Ste C-230
Edmonds, WA 98020-5107
Phone
(425) 409-9351
NPI assigned
Jun 26, 2013
Last updated
Aug 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 Primary

Addresses

Primary practice location

10016 Edmonds Way
Ste C-230
Edmonds, WA 98020-5107

Mailing address

10016 Edmonds Way
Ste C-230
Edmonds, WA 98020-5107
Phone (425) 409-9351

Other identifiers 3

IdentifierTypeStateIssuer
501859COtherWAOSPI, PROFESSIONAL EDUCATION & CERTIFICATION
14058654OtherWAASHA
LL60508598OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH

Other names 1

  • Ms. Mariya Legesse Former name

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1497195150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 EDMONDS WAY",
            "address_2": "STE C-230",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205107",
            "telephone_number": "425-409-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10016 EDMONDS WAY",
            "address_2": "STE C-230",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205107",
            "telephone_number": "425-409-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROWS",
        "first_name": "MARIYA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSPI, PROFESSIONAL EDUCATION & CERTIFICATION",
            "identifier": "501859C",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14058654",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "LL60508598",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIYA",
            "last_name": "LEGESSE",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.