Individual provider Active NPI

Anna Eban-Buonto, MS, CCC-SLP

  • Speech-Language Pathologist
  • Edmonds, WA
National Provider Identifier
1780846725
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00003053 Issued in WA
Practice address
23317 Edmonds Way Apt 4
Edmonds, WA 98026-8689
Phone
(425) 508-1324
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00003053 WA Primary

Addresses

Primary practice location

23317 Edmonds Way Apt 4
Edmonds, WA 98026-8689

Mailing address

23317 Edmonds Way Apt 4
Edmonds, WA 98026-8689
Phone (425) 508-1324

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

LicenseStateTypeSpecialty
LL00003053WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1780846725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23317 EDMONDS WAY APT 4",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268689",
            "telephone_number": "425-508-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23317 EDMONDS WAY APT 4",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268689",
            "telephone_number": "425-508-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBAN-BUONTO",
        "first_name": "ANNA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.