Individual provider Active NPI

Garrett Wilkes, CCC-SLP

  • Speech-Language Pathologist
  • Bellevue, WA
National Provider Identifier
1710539176
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
60971878 Issued in WA
Practice address
1800 112TH Ave NE Ste 260E
Bellevue, WA 98004-2937
Phone
(206) 486-2906
Fax
(509) 821-9219
NPI assigned
Jul 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 60971878 WA Primary

Addresses

Primary practice location

1800 112TH Ave NE Ste 260E
Bellevue, WA 98004-2937

Mailing address

7577 Old Redmond Rd Apt 5
Redmond, WA 98052-6858
Phone (417) 576-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15962 Boones Ferry Rd
Suite 204
Lake Oswego, OR 97035-4351

6314 SE 32ND Ave
Portland, OR 97202-8506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60971878WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Conaytus LLC Speech-Language Pathologist CurrentSince Sep 8, 2025 Accepting new patients
Burns & Hunsaker LLC Speech-Language Pathologist PastSince Jul 25, 2019 Accepting new patients

Locations

1800 112th Ave NE
Ste 260E
Bellevue, WA 98004
Phone (425) 454-9490

16720 Redmond Way
Ste G
Redmond, WA 98052
Phone (206) 486-2906

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": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1710539176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7577 OLD REDMOND RD APT 5",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526858",
            "telephone_number": "417-576-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE STE 260E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042937",
            "telephone_number": "206-486-2906",
            "fax_number": "509-821-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "GARRETT",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60971878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.