Active NPI
Jodie M. O'Toole, SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1750331898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00004178
- Practice address
- 1100 9TH Ave
H4Pmr
Seattle, WA 98101-2756 - Phone
- (206) 341-0461
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00004178 | WA | Primary |
Addresses
Primary practice location
1100 9TH Ave
H4Pmr
Seattle, WA 98101-2756
Mailing address
3238 62ND Ave SW
Seattle, WA 98116-2731
Phone (206) 753-7668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84784U | Other | WA | REGENCE BLUE SHIELD PIN |
| 1026OT | Other | WA | REGENCE BLUE SHIELD PIN |
Other names 1
- Jodie M. Miller
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL00004178 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750331898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3238 62ND AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162731",
"telephone_number": "206-753-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "H4PMR",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-341-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'TOOLE",
"first_name": "JODIE",
"middle_name": "M.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00004178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "84784U",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "1026OT",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JODIE",
"last_name": "MILLER",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.