Organization Active NPI

Carrie Diede Speech Language Services

  • Speech-Language Pathologist
  • Walla Walla, WA
National Provider Identifier
1730859448
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CARRIE DIEDE SPEECH LANGUAGE SERVICES
Practice address
62 S Madison St
Walla Walla, WA 99362-2416
Phone
(646) 331-6616
Fax
(509) 260-2622
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Carrie S Diede, MS, CCC-SLP
Title
Owner/Therapist
Phone
(646) 331-6616

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

62 S Madison St
Walla Walla, WA 99362-2416

Mailing address

62 S Madison St
Walla Walla, WA 99362-2416
Phone (646) 331-6166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1730859448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 S MADISON ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622416",
            "telephone_number": "646-331-6166",
            "fax_number": "509-260-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 S MADISON ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622416",
            "telephone_number": "646-331-6616",
            "fax_number": "509-260-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE DIEDE SPEECH LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "DIEDE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "646-331-6616",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.