Individual provider Active NPI

Ashley Wegner, MA-SLP

  • Speech-Language Pathologist
  • Kirkland, WA
National Provider Identifier
1639728983
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61370965 Issued in WA
Practice address
13402 129TH PL NE
Kirkland, WA 98034-5407
Phone
(269) 845-9316
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 LL61370965 WA Primary

Addresses

Primary practice location

13402 129TH PL NE
Kirkland, WA 98034-5407

Mailing address

13402 129TH PL NE
Kirkland, WA 98034-5407
Phone (269) 845-9316

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL61370965WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Pediatric Therapy LLC CurrentSince Jun 25, 2023 Accepting new patients
BWC Brighton LLC Speech-Language Pathologist CurrentSince Jun 2, 2024 Accepting new patients
Quality Care Rehabilitation Professionals PastSince Jan 1, 2020 Accepting new patients
Kaufman Children'S Center PastSince Jul 1, 2020 Accepting new patients

Locations

8175 Movie Dr
Brighton, MI 48116
Phone (248) 277-3005

44225 W Twelve Mile Rd
Ste C-106
Novi, MI 48377
Phone (248) 277-3005

Organizations & group practices 4

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1639728983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13402 129TH PL NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345407",
            "telephone_number": "269-845-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 129TH PL NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345407",
            "telephone_number": "269-845-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "ASHLEY",
        "credential": "MA-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61370965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.