Individual provider Active NPI

Ruby Sunny

  • Speech-Language Assistant
  • Snoqualmie, WA
National Provider Identifier
1962219873
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SP61363524 Issued in WA
Practice address
9050 384TH Ave SE
Snoqualmie, WA 98065-9637
Phone
(425) 888-3347
Fax
(425) 888-3348
NPI assigned
Dec 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SP61363524 WA Primary

Addresses

Primary practice location

9050 384TH Ave SE
Snoqualmie, WA 98065-9637

Mailing address

23620 SE 48TH St Unit 4B
Sammamish, WA 98075-6803
Phone (206) 471-0905

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

State licenses

LicenseStateTypeSpecialty
SP61363524WAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Northwest CurrentSince Dec 15, 2024 Accepting new patients

Locations

9050 384th Ave SE
Snoqualmie, WA 98065
Phone (425) 888-3347

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": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1962219873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23620 SE 48TH ST UNIT 4B",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980756803",
            "telephone_number": "206-471-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 384TH AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659637",
            "telephone_number": "425-888-3347",
            "fax_number": "425-888-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNNY",
        "first_name": "RUBY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP61363524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.