Individual provider Active NPI

Montana Gregory, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Edmonds, WA
National Provider Identifier
1891417820
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL61331448 Issued in WA
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

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
LL61331448WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sustainability Management Company LLC Speech-Language Pathologist CurrentSince Apr 6, 2025 Accepting new patients
Rebecca Cummings, M.S., CCC-SLP, PLLC Speech-Language Pathologist PastSince Feb 14, 2021 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.

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.

Verify at the official NPI Registry.