Individual provider Active NPI

Alanna Wight

  • Speech-Language Assistant
  • Mercer Island, WA
National Provider Identifier
1679227078
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SP60983835 Issued in WA
Practice address
4030 86TH Ave SE
Mercer Island, WA 98040-4198
Phone
(206) 275-5800
NPI assigned
Feb 5, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 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 Assistant 2355S0801X SP60983835 WA Primary

Addresses

Primary practice location

4030 86TH Ave SE
Mercer Island, WA 98040-4198

Mailing address

12655 120TH Ave NE Apt 640
Kirkland, WA 98034-5045
Phone (206) 778-0318

Other practice location 1

7622 44th Ave NE
Marysville, WA 98270-3769
Phone (360) 965-3300

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
SP60983835WAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1679227078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 120TH AVE NE APT 640",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345045",
            "telephone_number": "206-778-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 86TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980404198",
            "telephone_number": "206-275-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7622 44th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982703769",
            "country_code": "US",
            "telephone_number": "360-965-3300",
            "fax_number": "360-965-3304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "ALANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP60983835",
            "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 Aug 26, 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.