Individual provider Active NPI

Cassandra Jo Cleary, MS,CCC-SLP

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1700326345
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI 606252326 Issued in WA
Practice address
319 S Cedar St
Spokane, WA 99201-7029
Phone
(509) 209-7429
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 SI 606252326 WA Primary

Addresses

Primary practice location

319 S Cedar St
Spokane, WA 99201-7029

Mailing address

319 S Cedar St
Spokane, WA 99201-7029
Phone (509) 842-4187

Other practice location 1

1625 19th Ave
Seattle, WA 98122-2848
Phone (206) 388-1269

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SI 606252326WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Pediatric Therapy PastSince Oct 27, 2019 Accepting new patients
SSPT Clinic Speech-Language Pathologist PastSince Oct 27, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1700326345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S CEDAR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017029",
            "telephone_number": "509-842-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S CEDAR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017029",
            "telephone_number": "509-209-7429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981222848",
            "country_code": "US",
            "telephone_number": "206-388-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "CASSANDRA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI 606252326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.