NPIMap

Organization Active NPI

Gooseberry Speech Therapy LLC

  • Hearing and Speech Clinic/Center
  • Edmonds, WA
National Provider Identifier
1831713403
Registry record updated Nov 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
GOOSEBERRY SPEECH THERAPY LLC
Practice address
1055 Puget Dr Apt 2
Edmonds, WA 98020-2652
Phone
(425) 232-9704
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2022

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

Authorized official

Name
Anita Floresca, MS, CCC-SLPNPI 1629527981
Title
Speech Language Pathologist
Phone
(425) 232-9704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1055 Puget Dr Apt 2
Edmonds, WA 98020-2652

Mailing address

1055 Puget Dr Apt 2
Edmonds, WA 98020-2652
Phone (425) 232-9704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669420800000",
    "number": "1831713403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 PUGET DR APT 2",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980202652",
            "telephone_number": "425-232-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 PUGET DR APT 2",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980202652",
            "telephone_number": "425-232-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOSEBERRY SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-26",
        "status": "A",
        "authorized_official_last_name": "FLORESCA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "425-232-9704",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2022; 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.