Kristine L Meilahn, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00001199 Issued in WA

Practice address

19903 164TH Ave NE Ste a
Woodinville, WA 98072-7042

Phone

(425) 806-4865

Fax

(206) 350-8360

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841360815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 STATE AVE STE I PMB 258",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703672",
            "telephone_number": "360-386-8369",
            "fax_number": "360-386-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19903 164TH AVE NE STE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980727042",
            "telephone_number": "425-806-4865",
            "fax_number": "206-350-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEILAHN",
        "first_name": "KRISTINE",
        "middle_name": "L",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7032832",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven G McKenzie, MS, PT, HPCS
• Kimberley McMichael, SLP-CCC
• Medical Supply, Inc.
• Karen Ann Tarantino Medina, LMP
• Jessee Logan Meek, D.O.
• Josephine Tenney Meisch, LMP
• Amy Marie Melick, PHD
• Linda L. Meredith, P.T.
• Shannon Michelle Mertens, PHARMD, RPH
• Estela Meza, LMP

• Speech-Language Pathologist in Woodinville, WA
• Providers in Woodinville, 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 Jul 8, 2007; 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.