Individual provider Active NPI

Lori Anne Webb, MA, CCC-SLP

  • Speech-Language Pathologist
  • Tukwila, WA
National Provider Identifier
1508951542
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00002530 Issued in WA
Practice address
13050 Military Rd S
Tukwila, WA 98168-3047
Phone
(206) 248-3080
Fax
(206) 248-4242
NPI assigned
Oct 4, 2006
Last updated
Nov 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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 LL00002530 WA Primary

Addresses

Primary practice location

13050 Military Rd S
Tukwila, WA 98168-3047

Mailing address

PO Box 97115
Lakewood, WA 98497-0115
Phone (253) 588-7911

Other identifiers 1

IdentifierTypeStateIssuer
LL00002530OtherWAMEDICAL PROFESSIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000548 WA Practitioner - Qualified Speech Language Pathologist 2264588169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LL00002530WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Physical Therapy Group CurrentSince Jul 1, 2009 Accepting new patients
Highline Physical Therapy Group Speech-Language Pathologist CurrentSince Jul 1, 2009 Accepting new patients

Locations

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

13050 Military Rd S
Tukwila, WA 98168
Phone (206) 248-3080

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1508951542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-984-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 MILITARY RD S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683047",
            "telephone_number": "206-248-3080",
            "fax_number": "206-248-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROFESSIONAL LICENSE",
            "identifier": "LL00002530",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.