Active NPI
Breanne Marie Toney, CCC-SLP
- Speech-Language Pathologist
- Burien, WA
National Provider Identifier
1790203065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 60877449
- Practice address
- 127 SW 156TH St
Burien, WA 98166-2515 - Phone
- (253) 216-0720
- NPI assigned
- Sep 6, 2017
- Last updated
- Jun 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | 60877449 | WA | Primary |
Addresses
Primary practice location
127 SW 156TH St
Burien, WA 98166-2515
Mailing address
19814 23Rd Dr SE
Bothell, WA 98012-7607
Phone (206) 909-2650
Other practice location 1
707 SW Gaines St
Portland, OR 97239-2901
Phone (503) 494-2762
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14297364 | Other | ASHA LICENSE | |
| LL60877449 | Other | WA | STATE SLP LICENSE |
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 |
|---|---|---|---|
| 60877449 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1790203065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19814 23RD DR SE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980127607",
"telephone_number": "206-909-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 SW 156TH ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981662515",
"telephone_number": "253-216-0720"
}
],
"practiceLocations": [
{
"address_1": "707 SW Gaines St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972392901",
"country_code": "US",
"telephone_number": "503-494-2762",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TONEY",
"first_name": "BREANNE",
"middle_name": "MARIE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "60877449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA LICENSE",
"identifier": "14297364",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE SLP LICENSE",
"identifier": "LL60877449",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.