Alyssa Gonzalez

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

2650 Entiat Way
Entiat, WA 98822-9710

Phone

(509) 784-1800

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Entiat School District

  • Local Education Agency (LEA)
  • Entiat, WA
  • NPI 1700816766
  NPD (past)
• North Central Educational Service District

  • Early Intervention Provider Agency
  • Wenatchee, WA
  • NPI 1174037550
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1699536128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 OLDS STATION RD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988015975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 ENTIAT WAY",
            "city": "ENTIAT",
            "state": "WA",
            "postal_code": "988229710",
            "telephone_number": "509-784-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Birch St",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "WA",
            "postal_code": "98858",
            "country_code": "US",
            "telephone_number": "509-745-8584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Entiat School District
• Safe Bathtub Inc

• Speech-Language Assistant in Entiat, WA
• Providers in Entiat, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.