NPIMap

Organization Active NPI

The Aubin Aphasia Speech and Language Center LLC

  • Hearing and Speech Clinic/Center
  • Bainbridge Island, WA
National Provider Identifier
1679897995
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
LL00004536 Issued in WA
Legal business name
THE AUBIN APHASIA SPEECH AND LANGUAGE CENTER LLC
Practice address
330 Madison Ave S Ste 106
Bainbridge Island, WA 98110-2544
Phone
(206) 355-9985
NPI assigned
Mar 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Ms. Jessica L Aubin, MS CCC SLPNPI 1790984201
Title
LLC Manager
Phone
(206) 355-9985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X LL00004536 WA Primary

Addresses

Primary practice location

330 Madison Ave S Ste 106
Bainbridge Island, WA 98110-2544

Mailing address

330 Madison Ave S Ste 106
Bainbridge Island, WA 98110-2544
Phone (206) 355-9985

Other practice location 1

20700 Bond Rd NE Bldg B
Poulsbo, WA 98370-9099
Phone (206) 451-4308

Other identifiers 2

IdentifierTypeStateIssuer
12123424OtherWAASHA CERTIFICATION
LL 00004536OtherWASTATE LICENSE

Other names 1

  • The Aubin Aphasia Center, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000147 WA Part B Supplier - Clinic/Group Practice 2264560614 Receives reassigned benefits from 5 practitioners
Practice locations: Bainbridge Island, WA; Poulsbo, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1679897995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MADISON AVE S STE 106",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102544",
            "telephone_number": "206-355-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON AVE S STE 106",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102544",
            "telephone_number": "206-355-9985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20700 Bond Rd NE Bldg B",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983709099",
            "country_code": "US",
            "telephone_number": "206-451-4308",
            "fax_number": "206-451-4309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE AUBIN APHASIA SPEECH AND LANGUAGE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "AUBIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "206-355-9985",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WA",
            "license": "LL00004536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "12123424",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LL 00004536",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Aubin Aphasia Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Aubin Aphasia Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.