Individual provider Active NPI

Rachel Elizabeth Crum, SLP

  • Speech-Language Pathologist
  • Lynnwood, WA
National Provider Identifier
1932616166
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ8141 Issued in FL
Practice address
19105 36TH Ave W Ste 206
Lynnwood, WA 98036-5760
Phone
(904) 290-3979
Fax
(425) 215-0028
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 SZ8141 FL Primary

Addresses

Primary practice location

19105 36TH Ave W Ste 206
Lynnwood, WA 98036-5760

Mailing address

19105 36TH Ave W Ste 206
Lynnwood, WA 98036-5760
Phone (904) 290-3979

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Speech Pathology LLC Speech-Language Pathologist CurrentSince Jun 1, 2020 Accepting new patients

Locations

19105 36th Ave W
Ste 206
Lynnwood, WA 98036
Phone (425) 771-0970

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1932616166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19105 36TH AVE W STE 206",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365760",
            "telephone_number": "904-290-3979",
            "fax_number": "425-215-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19105 36TH AVE W STE 206",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365760",
            "telephone_number": "904-290-3979",
            "fax_number": "425-215-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.