Active NPI
Stephanie Lois Keith, SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1801172606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60245427
- Practice address
- 1625 19TH Ave
Seattle, WA 98122-2848 - Phone
- (206) 323-5770
- Fax
- (206) 328-6871
- NPI assigned
- Oct 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL60245427 | WA | Primary |
Addresses
Primary practice location
1625 19TH Ave
Seattle, WA 98122-2848
Mailing address
1625 19TH Ave
Seattle, WA 98122-2848
Phone (206) 323-5770
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL60245427 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1801172606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 19TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222848",
"telephone_number": "206-323-5770",
"fax_number": "206-328-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 19TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981222848",
"telephone_number": "206-323-5770",
"fax_number": "206-328-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "STEPHANIE",
"middle_name": "LOIS",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60245427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.