1366198517 NPI number — UPBEAT SPEECH THERAPY, LLC

Table of content: DR. JOHN GEORGE BRIGGS M.D. (NPI 1225058506)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366198517 NPI number — UPBEAT SPEECH THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPBEAT SPEECH THERAPY, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366198517
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3862 DELRIDGE WAY SW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98106-1132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-424-4646
Provider Business Mailing Address Fax Number:
206-338-2010

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3862 DELRIDGE WAY SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98106-1132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-424-4646
Provider Business Practice Location Address Fax Number:
206-338-2010
Provider Enumeration Date:
02/25/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WHIPPLE
Authorized Official First Name:
ANDREA
Authorized Official Middle Name:
Authorized Official Title or Position:
SPEECH LANGUAGE PATHOLOGIST / OWNER
Authorized Official Telephone Number:
206-424-4646

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)