Active NPI
Katie Vornbrock, CCC-SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1497755359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00003694
- Practice address
- 1625 19TH Ave
Seattle, WA 98122-2848 - Phone
- (206) 323-5770
- Fax
- (206) 328-6871
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00003694 | WA | Primary |
Addresses
Primary practice location
1625 19TH Ave
Seattle, WA 98122-2848
Mailing address
1625 19TH Ave
Seattle, WA 98122-2848
Phone (206) 323-5770
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0194072 | Other | WA | LABOR AND INDUSTRIES |
| 2455VO | Other | WA | REGENCE BLUE SHIELD |
| 8414344 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00003694 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497755359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 19TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222848",
"telephone_number": "206-323-5770",
"fax_number": "206-328-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 19TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222848",
"telephone_number": "206-323-5770",
"fax_number": "206-328-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORNBROCK",
"first_name": "KATIE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0194072",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "2455VO",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8414344",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.