Avery Jane Walcher

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61431327 Issued in WA

Practice address

13505 NE 75TH St
Redmond, WA 98052-4032

Phone

(425) 936-2460

NPI assigned

Sep 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1861279986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 2ND ST W",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335349",
            "telephone_number": "303-945-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 NE 75TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524032",
            "telephone_number": "425-936-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12801 84th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980342600",
            "country_code": "US",
            "telephone_number": "425-936-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALCHER",
        "first_name": "AVERY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61431327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon T Wagener Dewolf, DC
• Rasena Wager
• Shuree Waggoner, LMHC
• Kramer Alexander Pandolfo Wagner, DDS
• Chandra Dawn Wajdik
• Preston Robert Walcker
• Halli Broder Waldbaum, PHARM.D.
• Walgreen Co
• Walgreen Co
• Carol E Walker, LMP

• Speech-Language Pathologist in Redmond, WA
• Providers in Redmond, 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 Sep 12, 2023; 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.