Active NPI
Louise Marie Sea, MCSD, CCC-SLP
- Speech-Language Pathologist
- Redmond, OR
National Provider Identifier
1821110800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10657
- Practice address
- 145 SE Salmon Ave
Redmond, OR 97756-8427 - Phone
- (541) 923-8900
- NPI assigned
- Apr 3, 2007
- 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 Pathologist | 235Z00000X | 10657 | OR | Primary |
Addresses
Primary practice location
145 SE Salmon Ave
Redmond, OR 97756-8427
Mailing address
1457 NW Lewis St
Bend, OR 97701-6717
Phone (541) 389-3362
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10657 | Other | OR | BOARD LICENSE |
| 00756726 | Other | ASHA MEMBER |
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 |
|---|---|---|---|
| 10657 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821110800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1457 NW LEWIS ST",
"city": "BEND",
"state": "OR",
"postal_code": "977016717",
"telephone_number": "541-389-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 SE SALMON AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977568427",
"telephone_number": "541-923-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEA",
"first_name": "LOUISE",
"middle_name": "MARIE",
"credential": "MCSD, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "10657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD LICENSE",
"identifier": "10657",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA MEMBER",
"identifier": "00756726",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.