NPIMap

Organization Active NPI

Myofunctional Clinic of Bellevue, PLLC

  • Speech-Language Pathologist
  • Bellevue, WA
National Provider Identifier
1992231245
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MYOFUNCTIONAL CLINIC OF BELLEVUE, PLLC
Practice address
1530 Bellevue Way SE
Suite B
Bellevue, WA 98004-7110
Phone
(425) 454-1420
NPI assigned
May 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Nancy K. Knudson-Magar, MA, CCC-SLP, COM
Title
Speech-Language Pathologist/Owner
Phone
(425) 454-1420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1530 Bellevue Way SE
Suite B
Bellevue, WA 98004-7110

Mailing address

1530 Bellevue Way SE
Suite B
Bellevue, WA 98004-7110
Phone (425) 454-1420

National Provider Directory

National Provider Directory

Locations

1530 Bellevue Way SE
Ste B
Bellevue, WA 98004
Phone (425) 454-1420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1992231245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BELLEVUE WAY SE",
            "address_2": "SUITE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047110",
            "telephone_number": "425-454-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BELLEVUE WAY SE",
            "address_2": "SUITE B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047110",
            "telephone_number": "425-454-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOFUNCTIONAL CLINIC OF BELLEVUE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "KNUDSON-MAGAR",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "425-454-1420",
        "authorized_official_credential": "MA, CCC-SLP, COM"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.