NPIMap

Organization Active NPI

Blooming Speech P.S.

  • Speech-Language Pathologist
  • Mukilteo, WA
National Provider Identifier
1649298563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001195 Issued in WA
Legal business name
BLOOMING SPEECH P.S.
Practice address
8919 49TH Ave W
Mukilteo, WA 98275-3425
Phone
(425) 314-1716
Fax
(425) 353-3716
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Chapdelaine, M.S. CCC-SLPNPI 1336178599
Title
President
Phone
(425) 314-1716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X LL00001195 WA Primary

Addresses

Primary practice location

8919 49TH Ave W
Mukilteo, WA 98275-3425

Mailing address

PO Box 1024
Mukilteo, WA 98275-1024
Phone (425) 314-1716

Other identifiers 1

IdentifierTypeStateIssuer
7132632MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649298563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1024",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751024",
            "telephone_number": "425-314-1716",
            "fax_number": "425-353-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 49TH AVE W",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982753425",
            "telephone_number": "425-314-1716",
            "fax_number": "425-353-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING SPEECH P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPDELAINE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-314-1716",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7132632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.