Organization Active NPI

Nourish Therapy, PLLC

  • Clinic/Center
  • Spokane, WA
National Provider Identifier
1578219044
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOURISH THERAPY, PLLC
Practice address
1025 W 14TH Ave
Spokane, WA 99204-3823
Phone
(615) 767-4639
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Carissa Nichole Guiley, MS, CCC-SLPNPI 1780178574
Title
Speech-Language Pathologist
Phone
(615) 767-4639

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1025 W 14TH Ave
Spokane, WA 99204-3823

Mailing address

17791 Fjord Dr NE Ste 138
Poulsbo, WA 98370-8483
Phone (615) 767-4639

National Provider Directory

National Provider Directory

Locations

17791 Fjord Dr NE
Ste 138
Poulsbo, WA 98370
Phone (206) 467-6300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1578219044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17791 FJORD DR NE STE 138",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708483",
            "telephone_number": "615-767-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W 14TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043823",
            "telephone_number": "615-767-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "GUILEY",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "615-767-4639",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 6, 2025; 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.