Active NPI
Sarah Bonine, SLP
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1902574122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61147917
- Practice address
- 555 16TH Ave
Seattle, WA 98122-5618 - Phone
- (206) 324-8200
- NPI assigned
- Sep 1, 2021
- Last updated
- Mar 14, 2023
- 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 | LL61147917 | WA | Primary |
Addresses
Primary practice location
555 16TH Ave
Seattle, WA 98122-5618
Mailing address
555 16TH Ave
Seattle, WA 98122-5618
Phone (206) 324-8200
Other practice location 1
400 S 43rd St
Renton, WA 98055-5714
Phone (425) 690-3650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7204 SW Durham Rd
Suite 100
Portland, OR 97224-7574
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18486 | OR | MD | Massage Therapist |
| LL61147917 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain Rehab Network Oregon, Inc. | Current | Accepting new patients |
Locations
7204 SW Durham Rd
Ste 100
Tigard, OR 97224
Phone (503) 941-9869
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Tigard, OR
- NPI 1134595002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1902574122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 16TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225618",
"telephone_number": "206-324-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 16TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225618",
"telephone_number": "206-324-8200"
}
],
"practiceLocations": [
{
"address_1": "400 S 43rd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555714",
"country_code": "US",
"telephone_number": "425-690-3650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONINE",
"first_name": "SARAH",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61147917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.