Calina M Defebaugh, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 602314113 Issued in WA

Practice address

19401 40TH Ave W
Suite 310
Lynnwood, WA 98036-4612

Phone

(425) 582-2473

NPI assigned

Mar 21, 2012

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Kelley a. Ford, Ms, CCC-SLP, PS

  • Speech-Language Pathologist
  • Lynnwood, WA
  • NPI 1740594142
  NPD (past)
• Kindering Center

  • Specialist
  • Bellevue, WA
  • NPI 1275670572
  NPD (past)
• Lynnwood Speech & Language Services

  • Speech-Language Pathologist
  • Lynnwood, WA
  • NPI 1508130188
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1730454976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 40TH AVE W",
            "address_2": "SUITE 310",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364612",
            "telephone_number": "425-582-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 40TH AVE W",
            "address_2": "SUITE 310",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364612",
            "telephone_number": "425-582-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFEBAUGH",
        "first_name": "CALINA",
        "middle_name": "M",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 602314113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Janette Debolt-Richins, ARNP
• Mary Agnes Debroux, RN
• Kristi Marie Dechairo Ahern
• Catherine Ann Decker
• Sherrin Annette Deen
• Jesse L Defelice
• Sarah Jean Defreitas, MOT, OTR/L
• Diane Defuria, L.M.P.
• Jessica Degamo
• Michael Andrew Degroot, MD

• Speech-Language Pathologist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.