Active NPI
Gretchen Jane Hanna, M.A., CCC-SLP
- Speech-Language Pathologist
- Snohomish, WA
National Provider Identifier
1992216238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 60789352
- Practice address
- 1601 Avenue D
Snohomish, WA 98290-1718 - Phone
- (360) 563-7364
- NPI assigned
- Oct 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 60789352 | WA | Primary |
Addresses
Primary practice location
1601 Avenue D
Snohomish, WA 98290-1718
Mailing address
15518 27TH Dr SE
Mill Creek, WA 98012-4844
Phone (425) 879-0342
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 |
|---|---|---|---|
| 60789352 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1992216238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15518 27TH DR SE",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980124844",
"telephone_number": "425-879-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 AVENUE D",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982901718",
"telephone_number": "360-563-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "GRETCHEN",
"middle_name": "JANE",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-13",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "60789352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.