Individual provider Active NPI

David Pozolinski, SLPA

  • Speech-Language Pathologist
  • Tumwater, WA
National Provider Identifier
1699538108
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP60234006 Issued in WA
Practice address
621 Linwood Ave SW
Tumwater, WA 98512-8499
Phone
(360) 709-7000
NPI assigned
Feb 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 SP60234006 WA Primary

Addresses

Primary practice location

621 Linwood Ave SW
Tumwater, WA 98512-8499

Mailing address

5035 Donnelly Dr SE
Olympia, WA 98501-5009
Phone (206) 257-9557

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
SP60234006WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1699538108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 DONNELLY DR SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985015009",
            "telephone_number": "206-257-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 LINWOOD AVE SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985128499",
            "telephone_number": "360-709-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZOLINSKI",
        "first_name": "DAVID",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SP60234006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.