CHILDRENS COMMUNICATION CORNER INC (NPI# 1508829052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508829052 |
| Entity Type | Organization |
| Organization Name | CHILDRENS COMMUNICATION CORNER INC |
| Other Organization Name | SHANA KELLY MD CCC-SLP |
| Practice Address |
2366 Eastlake Ave E #307 Seattle WA 98102 |
| Mailing Address |
4115 University Way Ne Ste 202 Seattle WA 98105 |
| Practice Telephone | 2063719133 |
| Practice Fax Number | 2065249836 |
| Mailing Telephone | 2062991780 |
| Mailing Fax Number | 2065249836 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | MS. SHANA L KELLY (OWNER/SLP) |
| Authorized Official Telephone | 2062991780 |
| Authorized Official Credential | MS CCC SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | LL00003194 | WA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUE SHIELD OF WA | 6704KE | 01 |
| WA | 7115272 | 05 |
| Other Name | Type Code |
|---|---|
| Shana Kelly MD CCC-SLP | Former Legal Business Name - Organization |
| Street Address |
2366 EASTLAKE AVE E #307 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235643594 | Dylan Taylor Mcdonough | Massage Therapist | 2366 Eastlake Ave E, Seattle, WA 98102-3366 | 2017-11-24 |
| 1447790373 | Katherine Herndon | Massage Therapist | 2366 Eastlake Ave E, Seattle, WA 98102-3366 | 2017-02-25 |
| 1598204562 | Chelsea Zink | Behavioral Analyst | 2366 Eastlake Ave E, #102, Seattle, WA 98102-3366 | 2017-02-23 |
| 1366987810 | Katherine Bateman | Behavioral Analyst | 2366 Eastlake Ave E, #102, Seattle, WA 98102-3366 | 2016-12-19 |
| 1902358583 | Abby Rose Mcclelland | Social Worker | 2366 Eastlake Ave E, Ste 428, Seattle, WA 98102-3366 | 2016-10-28 |
| 1073062246 | Erin Barrie Benzikry | Behavioral Analyst | 2366 Eastlake Ave E, #102, Seattle, WA 98102-3366 | 2016-09-28 |
| 1922553494 | Michael Casey | Counselor | 2366 Eastlake Ave E, Ste. 417, Seattle, WA 98102-3366 | 2016-08-24 |
| 1083077242 | Mealtime Matters LLC | Community/Behavioral Health | 2366 Eastlake Ave E, #230, Seattle, WA 98102-3366 | 2016-04-04 |
| 1437515624 | Jessica Moxley | Massage Therapist | 2366 Eastlake Ave E, #214, Seattle, WA 98102-3366 | 2016-01-05 |
| 1114383288 | Emily J Visser | Counselor | 2366 Eastlake Ave E, Suite 303, Seattle, WA 98102-3366 | 2016-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467549 | Karen Adepoju | Registered Nurse | Karen Adepoju, 1058 E Mercer St., Seattle, WA 98102 | 2020-11-05 |
| 1548745250 | Lara Lucia | Counselor | 2366 Eastlaske Ave E, Suite 335, Seattle, WA 98102 | 2018-09-27 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1700382488 | Sophie Marie Bjorkquist | Counselor | 431 Boylston Ave E Apt 101, Seattle, WA 98102 | 2018-04-02 |
| 1609309533 | Lola Mudgistratova | Student in an Organized Health Care Education/Training Program | 2339 Boylston Ave W, #2, Seattle, WA 98102 | 2017-04-07 |
| 1013463371 | Mamiko Kuriya Dds Ps | Clinic/Center | 530 Broadway East, Apt #502, Seattle, WA 98102 | 2016-08-28 |
| 1912369638 | Kyle M. Forrest | Counselor | 3123 Fairview Ave E., Suite 204, Seattle, WA 98102 | 2016-03-22 |
| 1215311642 | Seattle Therapy Services LLC | Occupational Therapist | 2517 Eastlake Ave E., Suite 102, Seattle, WA 98102 | 2015-07-15 |
| 1134509458 | Broadway Dental Center, Inc. | Clinic/Center | 310 Harvard Ave. E., Seattle, WA 98102 | 2015-06-02 |
| 1871970343 | Deborah J. Patterson | Counselor | 2366 Eastlake Ave. E., #423, Seattle, WA 98102 | 2015-05-04 |
| Find all providers in zip 98102 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821133 | Rebecca Jaleh Mostofi | Speech-Language Pathologist | 708 N 35th St Apt 201, Seattle, WA 98103-8836 | 2020-11-05 |
| 1629679592 | Katherine Elizabeth Paolini | Speech-Language Pathologist | 802 26th Ave S Unit A, Seattle, WA 98144-3061 | 2020-11-05 |
| 1487263620 | Audrey Sheridan Wenzel | Speech-Language Pathologist | 4520 44th Ave Sw, Seattle, WA 98116-4117 | 2020-07-23 |
| 1457972259 | Olivia Santangelo | Speech-Language Pathologist | 12505 Greenwood Ave N Apt 43, Seattle, WA 98133-8040 | 2020-05-03 |
| 1386280196 | Glenn Flores | Speech-Language Pathologist | 12337 3rd Ave Ne, Seattle, WA 98125-4729 | 2019-11-27 |
| 1437708211 | Amanda Renee Gagnon | Speech-Language Pathologist | 514 Ne 102nd St, Seattle, WA 98125-7418 | 2019-09-05 |
| 1427612191 | Cecille Kalafut | Speech-Language Pathologist | 401 E Mercer St Apt 104, Seattle, WA 98102-5398 | 2019-04-27 |
| 1730642968 | Archways - Aphasia Rehabilitation Services Pllc | Speech-Language Pathologist | 151 12th Ave Unit 404, Seattle, WA 98122-6386 | 2019-04-14 |
| 1588126734 | Amanda Sloan Moss | Speech-Language Pathologist | 820 W Nickerson St, Seattle, WA 98119-1424 | 2019-04-04 |
| 1659835197 | Marci Revelli | Speech-Language Pathologist | 606 Nw 79th St, Seattle, WA 98117-4050 | 2019-01-29 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.