Active NPI
Rebecca R Kornstedt, M.S.
- Speech-Language Pathologist
- Seattle, WA
National Provider Identifier
1932391828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SI00004633
- Practice address
- 1550 N 115TH St
Mail Stop E-150
Seattle, WA 98133-8401 - Phone
- (206) 368-1848
- NPI assigned
- Aug 14, 2007
- 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 | SI00004633 | WA | Primary |
Addresses
Primary practice location
1550 N 115TH St
Mail Stop E-150
Seattle, WA 98133-8401
Mailing address
620 N 34TH St
Apt 406
Seattle, WA 98103-8667
Phone (608) 658-9334
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI00004633 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1932391828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N 34TH ST",
"address_2": "APT 406",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038667",
"telephone_number": "608-658-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N 115TH ST",
"address_2": "MAIL STOP E-150",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338401",
"telephone_number": "206-368-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNSTEDT",
"first_name": "REBECCA",
"middle_name": "R",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SI00004633",
"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 Aug 14, 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.