Christine Lea Wise, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 60442316 Issued in WA

Practice address

1730 NW 58TH St
Unit B
Seattle, WA 98107-3041

Phone

(719) 287-9629

NPI assigned

Jul 16, 2014

Last updated

Jul 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Christine De George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1992112551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NW 58TH ST",
            "address_2": "UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073041",
            "telephone_number": "719-287-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 NW 58TH ST",
            "address_2": "UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073041",
            "telephone_number": "719-287-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "CHRISTINE",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 60442316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "DE GEORGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cristina Wirkala
• David Wirth
• Kyle Wischer, PT
• Wise Patient Internal Medicine
• Carlton Rotelle Wise
• Elizabeth Wise, OTR/L
• Jamie Wise
• Kaitlyn Wise, OTR/L
• Maria A. Wise, DO
• Megan Wise

• Speech-Language Pathologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.