Active NPI
Cassandra Dee Eng
- Speech-Language Pathologist
- Pullman, WA
National Provider Identifier
1821639600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 60977082
- Practice address
- 315 SE Crestview St
Pullman, WA 99163-2264 - Phone
- (509) 334-3411
- NPI assigned
- Oct 3, 2019
- 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 | 60977082 | WA | Primary |
Addresses
Primary practice location
315 SE Crestview St
Pullman, WA 99163-2264
Mailing address
1130 SE Thompson St
Pullman, WA 99163-2676
Phone (509) 952-9505
Other names 1
- Cassandra Campbell
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 |
|---|---|---|---|
| 60977082 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1821639600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 SE THOMPSON ST",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991632676",
"telephone_number": "509-952-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 SE CRESTVIEW ST",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991632264",
"telephone_number": "509-334-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENG",
"first_name": "CASSANDRA",
"middle_name": "DEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-03",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "60977082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "CAMPBELL",
"credential": "CCC-SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.