Active NPI
Yazmin Marissa Tang
- Speech-Language Pathologist
- Bellevue, WA
National Provider Identifier
1679083950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 13010 NE 20TH St
Bellevue, WA 98005-2034 - Phone
- (425) 644-6328
- NPI assigned
- Oct 2, 2017
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
13010 NE 20TH St
Bellevue, WA 98005-2034
Mailing address
23315 76TH Ave W
Edmonds, WA 98026-8707
Other practice location 1
1616 Cornwall Ave Ste 100
Bellingham, WA 98225-4642
Phone (360) 305-3275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1679083950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23315 76TH AVE W",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13010 NE 20TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052034",
"telephone_number": "425-644-6328"
}
],
"practiceLocations": [
{
"address_1": "1616 Cornwall Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982254642",
"country_code": "US",
"telephone_number": "360-305-3275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANG",
"first_name": "YAZMIN",
"middle_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "WA"
}
],
"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 Apr 29, 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.