NPIMap

Organization Active NPI

Smalltalk Speech & Language Therapy, Inc

  • Speech-Language Pathologist
  • Bellevue, WA
National Provider Identifier
1730802257
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SMALLTALK SPEECH & LANGUAGE THERAPY, INC
Practice address
12727 Northup Way Ste 1
Bellevue, WA 98005-1917
Phone
(425) 533-5402
Fax
(425) 454-7997
NPI assigned
Sep 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Sarah Triebwasser, CCC-SLPNPI 1720295504
Title
Owner/SLP
Phone
(425) 533-5402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

12727 Northup Way Ste 1
Bellevue, WA 98005-1917

Mailing address

12727 Northup Way Ste 1
Bellevue, WA 98005-1917
Phone (425) 533-5402

Other identifiers 1

IdentifierTypeStateIssuer
1720295504MedicaidWA

National Provider Directory

National Provider Directory

Locations

12727 Northup Way
Ste 1
Bellevue, WA 98005
Phone (425) 533-5402

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1730802257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12727 NORTHUP WAY STE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051917",
            "telephone_number": "425-533-5402",
            "fax_number": "425-454-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 NORTHUP WAY STE 1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051917",
            "telephone_number": "425-533-5402",
            "fax_number": "425-454-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALLTALK SPEECH & LANGUAGE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "TRIEBWASSER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "425-533-5402",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720295504",
            "state": "WA"
        }
    ],
    "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 Sep 20, 2022; 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.