Individual provider Active NPI

Samruddhi Hurkadli, M.S

  • Speech-Language Pathologist
  • Mercer Island, WA
National Provider Identifier
1659512259
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00004053 Issued in WA
Practice address
8571 SE 72ND St
Mercer Island, WA 98040-5414
Phone
(425) 233-4391
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 LL00004053 WA Primary

Addresses

Primary practice location

8571 SE 72ND St
Mercer Island, WA 98040-5414

Mailing address

8571 SE 72ND St
Mercer Island, WA 98040-5414
Phone (425) 233-4391

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LL00004053WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Speech and Language Services PLLC Speech-Language Pathologist CurrentSince May 16, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1659512259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8571 SE 72ND ST",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405414",
            "telephone_number": "425-233-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8571 SE 72ND ST",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405414",
            "telephone_number": "425-233-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURKADLI",
        "first_name": "SAMRUDDHI",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.