NPIMap

Organization Active NPI

Milestones Speech and Lauguage Services

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1568528263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MILESTONES SPEECH AND LAUGUAGE SERVICES
Practice address
1403 S Grand Blvd
Suite 203S
Spokane, WA 99203-2263
Phone
(509) 835-4404
Fax
(509) 835-4400
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Chanda J Davis, CCC-SLPNPI 1386700177
Title
Owner
Phone
(509) 835-4404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1403 S Grand Blvd
Suite 203S
Spokane, WA 99203-2263

Mailing address

1403 S Grand Blvd
Suite 203S
Spokane, WA 99203-2263
Phone (509) 835-4404

Other identifiers 1

IdentifierTypeStateIssuer
7125701MedicaidWA

National Provider Directory

National Provider Directory

Locations

801 E 2nd Ave
Spokane, WA 99202
Phone (509) 590-0618

1403 S Grand Blvd
Ste 203S
Spokane, WA 99203
Phone (509) 835-4404

801 E 2nd Ave
Ste 100
Spokane, WA 99202
Phone (509) 558-3544

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568528263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD",
            "address_2": "SUITE 203S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032263",
            "telephone_number": "509-835-4404",
            "fax_number": "509-835-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD",
            "address_2": "SUITE 203S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032263",
            "telephone_number": "509-835-4404",
            "fax_number": "509-835-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES SPEECH AND LAUGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-835-4404",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7125701",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.