Active NPI
Annabel Balbuena
- Speech-Language Assistant
- University Place, WA
National Provider Identifier
1801616743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 61591687
- Practice address
- 9101 56TH St W
University Place, WA 98467-1506 - Phone
- (253) 566-5650
- NPI assigned
- Oct 15, 2024
- Last updated
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | 61591687 | WA | Primary |
Addresses
Primary practice location
9101 56TH St W
University Place, WA 98467-1506
Mailing address
1717 Cooper Point Rd SW Apt L77
Olympia, WA 98502-5760
Phone (686) 893-3610
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 |
|---|---|---|---|
| 61591687 | WA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1801616743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 COOPER POINT RD SW APT L77",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025760",
"telephone_number": "686-893-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9101 56TH ST W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984671506",
"telephone_number": "253-566-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALBUENA",
"first_name": "ANNABEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "WA",
"license": "61591687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.