Active NPI
Alison Dundore, CCC-SLP
- Speech-Language Pathologist
- Bellevue, WA
National Provider Identifier
1629661996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61166154
- Practice address
- 13010 NE 20TH St Ste 300
Bellevue, WA 98005-2054 - Phone
- (425) 644-6328
- NPI assigned
- Feb 17, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30116 | CA | |
| Speech-Language Pathologist | 235Z00000X | LL61166154 | VA | Primary |
Addresses
Primary practice location
13010 NE 20TH St Ste 300
Bellevue, WA 98005-2054
Mailing address
3919 Wallingford Ave N
Seattle, WA 98103-8247
Other practice location 1
4200 Ashe Rd
Bakersfield, CA 93313-2029
Phone (661) 831-8331
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 |
|---|---|---|---|
| 30116 | CA | MD | General Practice Dentistry |
| LL61166154 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panama-Buena Vista Union SD | 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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Bakersfield, CA
- NPI 1154548212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1629661996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 WALLINGFORD AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13010 NE 20TH ST STE 300",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052054",
"telephone_number": "425-644-6328"
}
],
"practiceLocations": [
{
"address_1": "4200 Ashe Rd",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933132029",
"country_code": "US",
"telephone_number": "661-831-8331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNDORE",
"first_name": "ALISON",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "30116",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "LL61166154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.