Individual provider Active NPI

Karin Drew, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Tacoma, WA
National Provider Identifier
1598829012
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00000974 Issued in WA
Practice address
1816 Pointe Woodworth Dr NE
Tacoma, WA 98422-3466
Phone
(951) 283-6514
Fax
(253) 927-3739
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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 LL00000974 WA Primary

Addresses

Primary practice location

1816 Pointe Woodworth Dr NE
Tacoma, WA 98422-3466

Mailing address

1816 Pointe Woodworth Dr NE
Tacoma, WA 98422-3466
Phone (951) 283-6514

Other identifiers 1

IdentifierTypeStateIssuer
LL00000974OtherWASPEECH LANGUAGE PATHOLOGY LICENSE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LL00000974WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1598829012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 POINTE WOODWORTH DR NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984223466",
            "telephone_number": "951-283-6514",
            "fax_number": "253-927-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 POINTE WOODWORTH DR NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984223466",
            "telephone_number": "951-283-6514",
            "fax_number": "253-927-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "KARIN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00000974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGY LICENSE",
            "identifier": "LL00000974",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.