Active NPI
Montana Gregory, M.A., CCC-SLP
- Speech-Language Pathologist
- Edmonds, WA
National Provider Identifier
1891417820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61331448
- Practice address
- 21920 76TH Avenue West
Suite 102
Edmonds, WA 98926-4831 - Phone
- (206) 657-6404
- Fax
- (206) 519-6672
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 | LL61331448 | WA | Primary |
Addresses
Primary practice location
21920 76TH Avenue West
Suite 102
Edmonds, WA 98926-4831
Mailing address
21920 76TH Avenue West
Suite 102
Edmonds, WA 98926-4831
Phone 206657640
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@emeraldcitypediatric.com |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL61331448 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sustainability Management Company LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Rebecca Cummings, M.S., CCC-SLP, PLLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
21920 76th Ave W
Ste 102
Edmonds, WA 98026
Phone (206) 657-6404
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Edmonds, WA
- NPI 1831992478
-
- Speech-Language Pathologist
- Kenmore, WA
- NPI 1346832748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743811200000",
"number": "1891417820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21920 76TH AVENUE WEST",
"address_2": "SUITE 102",
"city": "EDMONDS",
"state": "WA",
"postal_code": "989264831",
"telephone_number": "206657640",
"fax_number": "206-519-6672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21920 76TH AVENUE WEST",
"address_2": "SUITE 102",
"city": "EDMONDS",
"state": "WA",
"postal_code": "989264831",
"telephone_number": "206-657-6404",
"fax_number": "206-519-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "MONTANA",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2025-04-05",
"certification_date": "2025-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61331448",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@emeraldcitypediatric.com",
"affiliation": "N",
"endpointDescription": "administrative email",
"address_1": "21920 76th Avenue West",
"address_2": "Suite 102",
"city": "Edmonds",
"state": "WA",
"country_code": "US",
"postal_code": "989264831",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.