Active NPI
Brittany Ann Olsen-Boblitt, M.S., CCC-SLP
- Speech-Language Pathologist
- Clinton, WA
National Provider Identifier
1760782825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60185516
- Practice address
- 6210 Windfall Rd
Clinton, WA 98236-8613 - Phone
- (206) 409-6639
- Fax
- (360) 641-7322
- NPI assigned
- Oct 23, 2010
- Last updated
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | LL60185516 | WA | Primary |
Addresses
Primary practice location
6210 Windfall Rd
Clinton, WA 98236-8613
Mailing address
6210 Windfall Rd
Clinton, WA 98236-8613
Phone (206) 409-6639
Other practice location 1
12115 100th Ave NE
Kirkland, WA 98034-6743
Phone (206) 409-6639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135360 | Medicaid | WA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL60185516 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brittany Olsen-Boblitt, Ms, CCC-SLP, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6442 Central Ave
Ste C
Clinton, WA 98236
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Brittany Olsen-Boblitt, MS, CCC-SLP
- Speech-Language Pathologist
- Clinton, WA
- NPI 1699323865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1760782825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 WINDFALL RD",
"city": "CLINTON",
"state": "WA",
"postal_code": "982368613",
"telephone_number": "206-409-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6210 WINDFALL RD",
"city": "CLINTON",
"state": "WA",
"postal_code": "982368613",
"telephone_number": "206-409-6639",
"fax_number": "360-641-7322"
}
],
"practiceLocations": [
{
"address_1": "12115 100th Ave NE",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980346743",
"country_code": "US",
"telephone_number": "206-409-6639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLSEN-BOBLITT",
"first_name": "BRITTANY",
"middle_name": "ANN",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-23",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60185516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2135360",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.