Active NPI
Nourish Therapy, PLLC
- Clinic/Center
- Spokane, WA
National Provider Identifier
1578219044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carissa Nichole Guiley, MS, CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Poulsbo, WA
- NPI 1780178574
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.