Active NPI
Amy Herrick Baker, CCC-SLP
- Speech-Language Pathologist
- Mill Creek, WA
National Provider Identifier
1609883099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00003639
- Practice address
- 16030 Bothell Everett Hwy Ste 140
Mill Creek, WA 98012-1273 - Phone
- (425) 338-9005
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00003639 | WA | Primary |
Addresses
Primary practice location
16030 Bothell Everett Hwy Ste 140
Mill Creek, WA 98012-1273
Mailing address
9904 NE 134TH CT
Kirkland, WA 98034-1907
Phone (425) 273-6123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6242BA | Other | WA | REGENCE ID |
| 8394132 | Medicaid | WA |
Other names 1
- Amy Herrick
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00003639 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindering Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Bellevue, WA
- NPI 1275670572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609883099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9904 NE 134TH CT",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980341907",
"telephone_number": "425-273-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16030 BOTHELL EVERETT HWY STE 140",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121273",
"telephone_number": "425-338-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "AMY",
"middle_name": "HERRICK",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE ID",
"identifier": "6242BA",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8394132",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "HERRICK",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mill Creek, 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.