Adina Sounthala

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61409786 Issued in WA

Practice address

371 NE Gilman Blvd Ste 320
Issaquah, WA 98027-2901

Phone

(425) 427-1075

Fax

(425) 657-0691

NPI assigned

Jul 12, 2016

Reactivated

Mar 19, 2021

Last updated

Feb 23, 2023By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aloe Speech and Language PLLC

  • Speech-Language Pathologist
  • Seattle, WA
  • NPI 1235911710
  NPD Authorized official

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1861844060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 S 128TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NE GILMAN BLVD STE 320",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272901",
            "telephone_number": "425-427-1075",
            "fax_number": "425-657-0691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6621 S 128th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981784700",
            "country_code": "US",
            "telephone_number": "206-245-0806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUNTHALA",
        "first_name": "ADINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "deactivation_date": "2021-02-25",
        "reactivation_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61409786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua B Sommer, LMP
• Hyun Ju Son
• Kevin Y Song, MD
• Dipti Manish Soni, DENTIST
• Derrick Soong
• Danielle Southern, CB
• Joel William Southwell, DC
• Melissa Ann Spadafore
• Rebecca Ann Spain, RPH
• Maryn Amara Spangler, LMP

• Speech-Language Pathologist in Issaquah, WA
• Providers in Issaquah, 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 Feb 23, 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.