NPIMap

Organization Active NPI

Snohomish Speech & Language

  • Speech-Language Pathologist
  • Snohomish, WA
National Provider Identifier
1891068466
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00002824 Issued in WA
Legal business name
SNOHOMISH SPEECH & LANGUAGE
Practice address
629 Avenue D
Snohomish, WA 98290-2330
Phone
(425) 268-4118
Fax
(426) 953-2534
NPI assigned
Feb 13, 2012
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Jennifer L Johns, SLPNPI 1477614782
Title
Owner, Speech-Language Pathologist
Phone
(425) 268-4118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X LL00002824 WA Primary

Addresses

Primary practice location

629 Avenue D
Snohomish, WA 98290-2330

Mailing address

629 Avenue D
Snohomish, WA 98290-2330
Phone (425) 268-4118

Other identifiers 1

IdentifierTypeStateIssuer
1477614782OtherWABUSINESS OWNER'S PERSONAL NPI #

National Provider Directory

National Provider Directory

Locations

1800 Bickford Ave
Ste 203
Snohomish, WA 98290
Phone (425) 268-4118

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1891068466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902330",
            "telephone_number": "425-268-4118",
            "fax_number": "426-953-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902330",
            "telephone_number": "425-268-4118",
            "fax_number": "426-953-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOHOMISH SPEECH & LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "425-268-4118",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS OWNER'S PERSONAL NPI #",
            "identifier": "1477614782",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.