Active NPI
Anna Gregovich, MS, CCC-SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1831869205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61143281
- Practice address
- 2445 3Rd Ave S
Seattle, WA 98134-1923 - Phone
- (206) 252-0000
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | LL61143281 | WA | Primary |
Addresses
Primary practice location
2445 3Rd Ave S
Seattle, WA 98134-1923
Mailing address
7330 Ravenna Ave NE
Seattle, WA 98115-5842
Phone (907) 321-7023
Other practice location 1
2409 22nd Ave E
Seattle, WA 98112-2640
Phone (206) 252-3300
Other practice location 2
9501 20th Ave NE
Seattle, WA 98115-2330
Phone (206) 252-5550
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL61143281 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Public Schools | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1831869205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7330 RAVENNA AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981155842",
"telephone_number": "907-321-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 3RD AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341923",
"telephone_number": "206-252-0000"
}
],
"practiceLocations": [
{
"address_1": "2409 22nd Ave E",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981122640",
"country_code": "US",
"telephone_number": "206-252-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9501 20th Ave NE",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981152330",
"country_code": "US",
"telephone_number": "206-252-5550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGOVICH",
"first_name": "ANNA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61143281",
"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 Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.