Active NPI
Grace Gonzalez
- Speech-Language Pathologist
- North Bend, WA
National Provider Identifier
1629593363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 209 Main Ave S Ste 111
North Bend, WA 98045-8139 - Phone
- (425) 888-3347
- NPI assigned
- Aug 3, 2017
- 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 | Primary |
Addresses
Primary practice location
209 Main Ave S Ste 111
North Bend, WA 98045-8139
Mailing address
4505 42ND Ave SW Unit 203
Seattle, WA 98116-4691
Other practice location 1
516 176th St E
Spanaway, WA 98387-8335
Phone (253) 683-6000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1629593363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 42ND AVE SW UNIT 203",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981164691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MAIN AVE S STE 111",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980458139",
"telephone_number": "425-888-3347"
}
],
"practiceLocations": [
{
"address_1": "516 176th St E",
"address_purpose": "LOCATION",
"city": "Spanaway",
"state": "WA",
"postal_code": "983878335",
"country_code": "US",
"telephone_number": "253-683-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bend, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.