Loretta Walsh, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60202421 Issued in WA

Practice address

11104 NE 149TH St
Brush Prairie, WA 98606-9565

Phone

(360) 885-5318

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 and National Provider Directory roles.

• Battle Ground School District

  • Speech-Language Pathologist
  • Brush Prairie, WA
  • NPI 1215332580
  NPD (past)
• Battle Ground School District

  • Local Education Agency (LEA)
  • Battle Ground, WA
  • NPI 1639108418
  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1831442920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986040200",
            "telephone_number": "360-885-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 NE 149TH ST",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986069565",
            "telephone_number": "360-885-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LORETTA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60202421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "01123060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE SLP LICENSURE",
            "identifier": "LL60202421",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesli G Taylor
• Quan Minh Tran, INTERPRETER
• Kelly Marie Trinklein
• Vierck LTD
• Debra Vogel
• Debby Anne Warren-Manning, M.S. CCC-SLP
• Sara Wilhelm
• Jerry B Williams, DDS
• Ellen McGuigan Wilson, SLP
• Jennifer Wines, CCC-SLP

• Speech-Language Pathologist in Brush Prairie, WA
• Providers in Brush Prairie, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.