Individual provider Active NPI

Christine Lynn Simonitch, MA

  • Speech-Language Pathologist
  • Kent, WA
National Provider Identifier
1831431204
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60120747 Issued in WA
Practice address
24629 42ND Ave S
Kent, WA 98032-4197
Phone
(253) 945-4134
NPI assigned
Mar 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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 LL60120747 WA Primary

Addresses

Primary practice location

24629 42ND Ave S
Kent, WA 98032-4197

Mailing address

33330 8TH Ave S
Federal Way, WA 98003-6325
Phone (253) 945-2086

Other names 1

  • Christine Lynn Sritong-in Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
LL60120747WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1831431204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33330 8TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036325",
            "telephone_number": "253-945-2086",
            "fax_number": "253-945-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24629 42ND AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324197",
            "telephone_number": "253-945-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONITCH",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60120747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SRITONG-IN",
            "middle_name": "LYNN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.