Carissa N Guiley, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

17791 Fjord Dr NE Ste 138
Poulsbo, WA 98370-8483

Phone

(615) 767-4639

Fax

(360) 824-6944

NPI assigned

Jun 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Carissa N Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Nourish Therapy, PLLC

  • Clinic/Center
  • Spokane, WA
  • NPI 1578219044
  NPD Authorized official

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1780178574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17791 FJORD DR NE STE 138",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708483",
            "telephone_number": "615-767-4639",
            "fax_number": "360-824-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17791 FJORD DR NE STE 138",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708483",
            "telephone_number": "615-767-4639",
            "fax_number": "360-824-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILEY",
        "first_name": "CARISSA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-316642",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "ANDERSON",
            "middle_name": "N",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grey Jedi Alliance LLC
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• Richard Anthony Guerra, D.D.S
• Paz Macarena Guerrero, CHT
• Brook Lyn Gullickson, ATC, CSCS
• Gumnut Blossom Midwifery LLC
• Tanya Gunby
• Tanya A Gurevich Kushner, DDS
• Karl David Hadley, M.D.

• Speech-Language Pathologist in Poulsbo, WA
• Providers in Poulsbo, 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 Jan 6, 2025; 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.