Individual provider Active NPI

Aubrey Pflugrad

  • Speech-Language Assistant
  • Silverdale, WA
National Provider Identifier
1639866783
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SP61335213 Issued in WA
Practice address
9576 Ridgetop Blvd NW Ste L101
Silverdale, WA 98383-8554
Phone
(253) 851-0007
Fax
(253) 514-8261
NPI assigned
Apr 19, 2023
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 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 Assistant 2355S0801X SP61335213 WA Primary

Addresses

Primary practice location

9576 Ridgetop Blvd NW Ste L101
Silverdale, WA 98383-8554

Mailing address

9576 Ridgetop Blvd NW Ste L101
Silverdale, WA 98383-8554
Phone (253) 851-0007

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

LicenseStateTypeSpecialty
SP61335213WAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Speech Pathology, PS CurrentSince Apr 23, 2023 Accepting new patients

Locations

9576 Ridgetop Blvd NW
Ste L101
Silverdale, WA 98383
Phone (360) 692-7755

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.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1639866783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9576 RIDGETOP BLVD NW STE L101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838554",
            "telephone_number": "253-851-0007",
            "fax_number": "253-514-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 RIDGETOP BLVD NW STE L101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838554",
            "telephone_number": "253-851-0007",
            "fax_number": "253-514-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLUGRAD",
        "first_name": "AUBREY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP61335213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.