Active NPI
Grace Liu, M.A., CCC-SLP
- Speech-Language Pathologist
- Redmond, WA
National Provider Identifier
1992013486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL60247561
- Practice address
- 10901 176TH Cir NE
Redmond, WA 98052-7218 - Phone
- (706) 614-7229
- NPI assigned
- Sep 17, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 021200 | NY | |
| Speech-Language Pathologist | 235Z00000X | LL60247561 | WA | Primary |
Addresses
Primary practice location
10901 176TH Cir NE
Redmond, WA 98052-7218
Mailing address
11532 9TH Ave NE
Seattle, WA 98125-6212
Phone (706) 614-7229
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021200 | NY | MD | Clinical Psychologist |
| LL60247561 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1992013486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11532 9TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981256212",
"telephone_number": "706-614-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 176TH CIR NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527218",
"telephone_number": "706-614-7229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "GRACE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-17",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "021200",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60247561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.