Kelly Ann Siebecke, SLPA-C

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SP60224690 Issued in WA

Practice address

320 Pacific PL
Mount Vernon, WA 98273-5463

Phone

(360) 416-7570

NPI assigned

Jan 28, 2013

Last updated

Jan 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skagit Preschool Association and Resource Center

  • Speech-Language Pathologist
  • Mount Vernon, WA
  • NPI 1720286586
  NPD (past)

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1821336777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40194 CAPE HORN RD",
            "city": "CONCRETE",
            "state": "WA",
            "postal_code": "982379586",
            "telephone_number": "360-631-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PACIFIC PL",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735463",
            "telephone_number": "360-416-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBECKE",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "SLPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP60224690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Shipley, MA00022956
• James Lee Shreffler, PSY.D, DCR
• Gina Layne Shroyer, L.M.T.
• Catherine Yvonne Shull, APRN
• Benjamin E Siapco, CRNA
• Sight Partners Physicians, P.C.
• Teresa Joy Signer
• Brittany Silva, LSWAIC
• William Andre Silva, M.D.
• Lisa A Simmons, LMP

• Speech-Language Assistant in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.