Active NPI
Lindsay Marie Caddel, M.S. SLP-CCC
- Speech-Language Pathologist
- Brush Prairie, WA
National Provider Identifier
1881291359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 61092779
- Practice address
- 11104 NE 149TH St
Brush Prairie, WA 98606-9565 - Phone
- (360) 885-5300
- NPI assigned
- Oct 7, 2020
- 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 | 61092779 | WA | Primary |
Addresses
Primary practice location
11104 NE 149TH St
Brush Prairie, WA 98606-9565
Mailing address
3624 NE Cleveland Ave
Portland, OR 97212-2011
Phone (909) 747-7022
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | @battlegroundps.org | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 61092779 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1881291359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3624 NE CLEVELAND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972122011",
"telephone_number": "909-747-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 NE 149TH ST",
"city": "BRUSH PRAIRIE",
"state": "WA",
"postal_code": "986069565",
"telephone_number": "360-885-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADDEL",
"first_name": "LINDSAY",
"middle_name": "MARIE",
"credential": "M.S. SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "61092779",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "@battlegroundps.org",
"affiliation": "N",
"endpointDescription": "School district",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11104 NE 149th St",
"city": "Brush Prairie",
"state": "WA",
"country_code": "US",
"postal_code": "986069565",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brush Prairie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.