Individual provider Active NPI

Skylar Ruth Banka, M.S., CF-SLP

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1801469127
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI61207038 Issued in WA
Practice address
6710 N Country Homes Blvd
Spokane, WA 99208-4337
Phone
(509) 487-2958
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X WA
Speech-Language Pathologist 235Z00000X SI61207038 WA Primary

Addresses

Primary practice location

6710 N Country Homes Blvd
Spokane, WA 99208-4337

Mailing address

612 W Main Ave Apt 610
Spokane, WA 99201-0649
Phone (496) 460-1770

Other identifiers 1

IdentifierTypeStateIssuer
390200000XMedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 1477718492

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
SI61207038WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pediatric Therapy PastSince Jul 25, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1801469127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W MAIN AVE APT 610",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010649",
            "telephone_number": "496-460-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 N COUNTRY HOMES BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084337",
            "telephone_number": "509-487-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKA",
        "first_name": "SKYLAR",
        "middle_name": "RUTH",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI61207038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390200000X",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1477718492",
            "affiliation": "N",
            "address_1": "6710 N Country Homes Blvd",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992084337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.