Individual provider Active NPI

Claire Rakel Randich, CCC-SLP

  • Speech-Language Pathologist
  • Olympia, WA
National Provider Identifier
1609402171
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61166733
Practice address
3443 Lilly Rd NE
Olympia, WA 98506-3091
Phone
(360) 556-8132
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 LL61166733 Primary

Addresses

Primary practice location

3443 Lilly Rd NE
Olympia, WA 98506-3091

Mailing address

7617 Deschutes Woods CT SE
Tumwater, WA 98501-6811
Phone (360) 591-2766

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

Practice roles

OrganizationSpecialtyStatusNew patients
NW Physical Therapy, LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

3443 Lilly Rd NE
Olympia, WA 98506
Phone (360) 371-6250

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1609402171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 DESCHUTES WOODS CT SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016811",
            "telephone_number": "360-591-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063091",
            "telephone_number": "360-556-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDICH",
        "first_name": "CLAIRE",
        "middle_name": "RAKEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "LL61166733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.