Susan Nellist Walker, MA CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00002577 Issued in WA

Practice address

1573 E. Roy Rd.
Freeland, WA 98249

Phone

(360) 678-7619

Fax

(360) 678-0326

NPI assigned

Jul 10, 2007

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1891993986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 ROY RD",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982499558",
            "telephone_number": "360-331-3354",
            "fax_number": "360-678-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 E. ROY RD.",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "98249",
            "telephone_number": "360-678-7619",
            "fax_number": "360-678-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SUSAN",
        "middle_name": "NELLIST",
        "name_prefix": "Ms.",
        "credential": "MA CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Linda Thiel, MSW
• Jessica Tran, PHARMD
• David Vollan, PHYSICAL THERAPIST
• Ryan Martin Vos, L.AC.
• Robert D Wagner, M.D.
• Rui Wang
• Washington CVS Pharmacy LLC
• Whidbey Island Public Hospital District
• Whidbey Island Public Hospital District
• Whidbey Island Therapy Center

• Speech-Language Pathologist in Freeland, WA
• Providers in Freeland, 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 Jul 10, 2007; 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.