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PROVAIL NPI 1477760197


NPI Information

NPI: 1477760197
Provider Name: PROVAIL

Doing Business As: PROVAIL THERAPEUTIC AND ASSISTIVE TECHNOLOGY CLINIC

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 50D2253482

Address:
12550 AURORA AVE N
SEATTLE, WA
ZIP 98133
Phone: (206) 363-7303
Get Directions

PROVAIL is a speech language pathologist in Seattle, WA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. PROVAIL NPI is 1477760197. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Provail Therapeutic And Assistive Technology Clinic.

The provider's business location address is:

12550 AURORA AVE N
SEATTLE, WA
ZIP 98133-036
Phone: (206) 363-7303
Fax: (206) 826-0181

The provider's authorized official is Michael Hatzenbeler .
The authorized official title is Ceo and has the following contact phone number (206) 363-7303.

The CLIA number assigned to this NPI record is 50D2253482 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSI00004391WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERWASHINGTONUNIFORM MEDICAL PROVIDER
2=========-98103-A006OTHERWASHINGTONREGENCE TRICARE OT
3=========OTHERWASHINGTONUNITED HEALTHCARE
4=========-3670HUOTHERWASHINGTONREGENCE OT
5=========-0261VAOTHERWASHINGTONREGENCE OT
6=========OTHERWASHINGTONFIRST CHOICE PPO NET
7=========OTHERWASHINGTONMOLINA HEALTHCARE PROVIDE
8=========-8519COOTHERWASHINGTONREGENCE SPEECH THERAPY
9=========OTHERWASHINGTONPREMERA BLUE CROSS
10=========-3671WYOTHERWASHINGTONREGENCE SPEECH THERAPY
117070949-8347395MEDICAIDWASHINGTON
127368087OTHERWASHINGTONAETNA CLINIC NUMBER
137681083-8415291MEDICAIDWASHINGTON
14=========OTHERWASHINGTONCIGNA PROVIDER NUMBER
1555-0174569OTHERWASHINGTONLABOR AND INDUSTRIES
167070949-8347429MEDICAIDWASHINGTON
17397572001OTHERWASHINGTONGROUP HEALTH PROVIDER NUM
187681083-8464992MEDICAIDWASHINGTON
19=========-0563FAOTHERVIRGINIAREGENCE SPEECH THERAPY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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