Panoptic Speech Therapy Services, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003281 Issued in WA

Legal business name

PANOPTIC SPEECH THERAPY SERVICES, PLLC

Practice address

214 E. Pine Street
Oakville, WA 98568

Phone

(360) 273-0220

Fax

(360) 273-5510

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Lea Stephens, CCC-SLPNPI 1609936814

Title

Owner/Member

Phone

(360) 273-0220

Specialties & licenses 1

Addresses

Practitioners 2

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

• Lisa Lea Stephens, MA CCC-SLP

  • Speech-Language Pathologist
  • Oakville, WA
  • NPI 1609936814
  NPD (past) Authorized official
• Trina Marie Hamilton, L.M.P

  • Massage Therapist
  • Oakville, WA
  • NPI 1164867396
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1851764310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225",
            "address_2": "214 E. PINE STREET",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "985680225",
            "telephone_number": "360-273-0220",
            "fax_number": "360-273-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E. PINE STREET",
            "city": "OAKVILLE",
            "state": "WA",
            "postal_code": "98568",
            "telephone_number": "360-273-0220",
            "fax_number": "360-273-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANOPTIC SPEECH THERAPY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "360-273-0220",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda McCleskey, DNP
• Matthew McIver
• Sonja Lynn McMillan, SUDP
• Oakville School District #400
• Patricia Louise Odiorne, RD, CDE
• Steven Dean Penney, CDP
• Barbara Sanders, LMP, LMHC
• Jessica Simmons, FNP
• Gary Scott Sims, S.U.D.P.
• Kelli Smith, MC61336785

• Speech-Language Pathologist in Oakville, WA
• Providers in Oakville, 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 Nov 5, 2015; 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.