Emily Gannon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60970706 Issued in WA

Practice address

315 N French Ave
Arlington, WA 98223-1317

Phone

(360) 618-6200

NPI assigned

Jun 10, 2014

Sex

Female

Sole proprietor

No

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

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.

• L.E.a.P.S. and Beyond, Inc

  • Behavior Analyst
  • Port Orchard, WA
  • NPI 1083089981

  Counselor

  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1760895403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N FRENCH AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231317",
            "telephone_number": "360-618-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N FRENCH AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231317",
            "telephone_number": "360-618-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 SE Barrington Dr",
            "address_2": "ste 203",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982773200",
            "country_code": "US",
            "telephone_number": "866-240-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANNON",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60970706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Frick, MSPT
• Helen Fritze
• Katherine Mary Fulton, CDP
• Krista Gaines Galitsis, MD
• James Gallegos, MFT
• Sabrina Ganske Guilliaume, OTR/L
• Corin Les Garvey, LMHCA
• Scott Alan Gassoway, LMHCA
• Shawn Leon Gay, D.C.
• Amber Geer

• Speech-Language Pathologist in Arlington, WA
• Providers in Arlington, 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 Sep 17, 2020; 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.