Active NPI
Brooke Taryn Whitley
- Speech-Language Pathologist
- Sedro Woolley, WA
National Provider Identifier
1982122305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 801 Trail Rd
Sedro Woolley, WA 98284-9387 - Phone
- (360) 855-3500
- NPI assigned
- Sep 6, 2017
- 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 | Primary |
Addresses
Primary practice location
801 Trail Rd
Sedro Woolley, WA 98284-9387
Mailing address
801 Trail Rd
Sedro Woolley, WA 98284-9387
Phone (360) 855-3500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982122305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 TRAIL RD",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982849387",
"telephone_number": "360-855-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 TRAIL RD",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982849387",
"telephone_number": "360-855-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "BROOKE",
"middle_name": "TARYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.