Individual provider Active NPI

Linda Lee Newman-Kennedy, PH.D., CCC

  • Speech-Language Pathologist
  • Mount Vernon, WA
National Provider Identifier
1568535698
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001164 Issued in WA
Practice address
1501 Parker Way
Suite 106
Mount Vernon, WA 98273-2599
Phone
(360) 856-0829
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LL00001164 WA Primary

Addresses

Primary practice location

1501 Parker Way
Suite 106
Mount Vernon, WA 98273-2599

Mailing address

1501 Parker Way
Suite 106
Mount Vernon, WA 98273-2599
Phone (360) 856-0829

Other identifiers 1

IdentifierTypeStateIssuer
8369167MedicaidWA

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568535698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PARKER WAY",
            "address_2": "SUITE 106",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732599",
            "telephone_number": "360-856-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PARKER WAY",
            "address_2": "SUITE 106",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732599",
            "telephone_number": "360-856-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN-KENNEDY",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8369167",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.