Sandra Leigh Romine, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Riverside, WA
NPI 1992059992 · NPPES record last updated Jun 8, 2022
Key facts
- NPI
- 1992059992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- LL00003072 (WA)
- Practice address
- 105 Frank Road
Riverside, WA 98849 - Phone
- (509) 322-4400
- NPI assigned
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220614001472 | WA | Practitioner - Qualified Speech Language Pathologist | 2365821816 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00003072 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danielle Lowary Occupational Therapy LLC | Current |
Accepting new patients |
Locations
568 Pine St
Omak, WA 98841
Phone (509) 557-8320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00003072 | WA | Yes |
Addresses
Primary practice location
105 Frank Road
Riverside, WA 98849
Mailing address
105 Frank Road
Riverside, WA 98849
Phone (509) 322-4400
Other providers in Riverside, WA
All providers in Riverside, WA · Speech-Language Pathologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.