Individual provider Active NPI

Caroline Delsole, SLP-CF

  • Speech-Language Pathologist
  • Tacoma, WA
National Provider Identifier
1720698855
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61406565 Issued in WA
Practice address
4002 Tacoma Mall Blvd Ste 204
Tacoma, WA 98409-7702
Phone
(253) 581-9410
NPI assigned
Aug 4, 2020
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X LL61406565 WA Primary

Addresses

Primary practice location

4002 Tacoma Mall Blvd Ste 204
Tacoma, WA 98409-7702

Mailing address

2768 Washington St
Easton, PA 18045-2647

Other practice location 1

390 Red School Ln
Phillipsburg, NJ 08865-2230
Phone (908) 859-0200

Other practice location 2

112 Andover Park E
Tukwila, WA 98188-2915
Phone (206) 420-3967

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
LL61406565WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1720698855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2768 WASHINGTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 TACOMA MALL BLVD STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097702",
            "telephone_number": "253-581-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Red School Ln",
            "address_purpose": "LOCATION",
            "city": "Phillipsburg",
            "state": "NJ",
            "postal_code": "088652230",
            "country_code": "US",
            "telephone_number": "908-859-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Andover Park E",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882915",
            "country_code": "US",
            "telephone_number": "206-420-3967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELSOLE",
        "first_name": "CAROLINE",
        "credential": "SLP-CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61406565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.