Individual provider Active NPI

Anna Rhodes

  • Speech-Language Pathologist
  • Kirkland, WA
National Provider Identifier
1972908440
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
60466928 Issued in WA
Practice address
12213 NE 67TH Street
Kirkland, WA 98033-8546
Phone
(512) 897-4430
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-SP-LIC-8790 MT
Speech-Language Pathologist 235Z00000X 107983 TX
Speech-Language Pathologist 235Z00000X 60466928 WA Primary

Addresses

Primary practice location

12213 NE 67TH Street
Kirkland, WA 98033-8546

Mailing address

12213 NE 67TH St
Kirkland, WA 98033-8546
Phone (512) 897-4430

Other practice location 1

9 14th Ave W
Polson, MT 59860-5321
Phone (406) 883-4378

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
SLP-SP-LIC-8790MTMDSpeech-Language Pathologist
107983TXMDSpeech-Language Pathologist
60466928WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1972908440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12213 NE 67TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338546",
            "telephone_number": "512-897-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12213 NE 67TH STREET",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338546",
            "telephone_number": "512-897-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 14th Ave W",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605321",
            "country_code": "US",
            "telephone_number": "406-883-4378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-8790",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107983",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60466928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.