Individual provider Active NPI

Madeline Westerhoff, CCC-SLP

  • Speech-Language Pathologist
  • Bothell, WA
National Provider Identifier
1548877871
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61108610 Issued in WA
Practice address
3330 Monte Villa Pkwy
Bothell, WA 98021-8972
Phone
(425) 408-7733
Fax
(425) 408-7740
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 LL61108610 WA Primary

Addresses

Primary practice location

3330 Monte Villa Pkwy
Bothell, WA 98021-8972

Mailing address

3330 Monte Villa Pkwy
Bothell, WA 98021-8972
Phone (425) 408-7733

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

LicenseStateTypeSpecialty
LL61108610WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boyer Children'S Clinic PastSince Oct 1, 2020 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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1548877871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 MONTE VILLA PKWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218972",
            "telephone_number": "425-408-7733",
            "fax_number": "425-408-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MONTE VILLA PKWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218972",
            "telephone_number": "425-408-7733",
            "fax_number": "425-408-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERHOFF",
        "first_name": "MADELINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61108610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.