Individual provider Active NPI

Donna Ann Cole Wilson, MS CCC

  • Speech-Language Pathologist
  • Seattle, WA
National Provider Identifier
1831285634
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001048 Issued in WA
Practice address
12550 Aurora Ave N
Seattle, WA 98133-8036
Phone
(206) 826-1028
Fax
(206) 826-1128
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00001048 WA Primary

Addresses

Primary practice location

12550 Aurora Ave N
Seattle, WA 98133-8036

Mailing address

12550 Aurora Ave N
Seattle, WA 98133-8036
Phone (206) 826-1028

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
LL00001048WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Provail Speech-Language Pathologist Past Accepting new patients
Provail Past Accepting new patients

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1831285634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338036",
            "telephone_number": "206-826-1028",
            "fax_number": "206-826-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 AURORA AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338036",
            "telephone_number": "206-826-1028",
            "fax_number": "206-826-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE WILSON",
        "first_name": "DONNA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.