MS. KELLY ANN SIEBECKE (NPI# 1821336777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821336777 |
| Entity Type | Individual |
| Full Name | MS. KELLY ANN SIEBECKE |
| Credential | SLPA-C |
| Practice Address |
320 Pacific Pl Mount Vernon WA 98273-5463 |
| Mailing Address |
40194 Cape Horn Rd Concrete WA 98237-9586 |
| Practice Telephone | 3604167570 |
| Mailing Telephone | 3606316241 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SP60224690 | WA | Speech, Language and Hearing Service Providers |
| Street Address |
320 PACIFIC PL |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273-5463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487715389 | Janet Hargis Simpson | Counselor | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2006-12-13 |
| 1437763232 | Thessaly An H Prentiss | Speech-Language Pathologist | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2020-08-31 |
| 1235743089 | Anna Barbara Crestodina | Speech-Language Pathologist | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2020-08-31 |
| 1154934800 | Katharine Gell | Speech-Language Pathologist | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2020-08-24 |
| 1497309041 | Meghan Miller | Speech-Language Pathologist | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2019-07-31 |
| 1851891014 | Alison Kay Lofgren | Speech-Language Pathologist | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2018-02-14 |
| 1538675392 | Carol Anne Carruth | Speech-Language Pathologist | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2017-12-15 |
| 1235585530 | Jasmine Jenkins | Speech-Language Pathologist | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2016-05-05 |
| 1174964118 | Roxanne Ocampo | Speech-Language Pathologist | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2013-07-06 |
| 1235414921 | Sallie Marie Miller | Counselor | 320 Pacific Pl, Mount Vernon, WA 98273-5463 | 2011-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891213047 | Briana Moulton | Specialist/Technologist | 920 S 2nd St, Mount Vernon, WA 98273-4205 | 2017-09-07 |
| 1073069092 | Jenica Marie Barrett | Specialist/Technologist | 920 S 2nd St, Mount Vernon, WA 98273-4205 | 2016-08-30 |
| 1518211358 | Sheila Davis | Specialist/Technologist | 920 S 2nd St, Mount Vernon, WA 98273-4205 | 2012-10-31 |
| 1306199963 | Rebecca Goad | Specialist/Technologist | 920 S 2nd St, Mount Vernon, WA 98273-4205 | 2012-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765567 | Holly Jo Dorning | Specialist/Technologist | 9215 29th St Ne, Lake Stevens, WA 98258-4200 | 2020-09-23 |
| 1669087706 | Melissa Dawn Taylor | Specialist/Technologist | 209 Lynch Creek Rd. E., Eatonville, WA 98328 | 2020-09-15 |
| 1659919041 | Kayla Lewis | Specialist/Technologist | 1011 S 4th Ave # B, Walla Walla, WA 99362-4026 | 2019-12-16 |
| 1497304554 | Bridget Thompson | Specialist/Technologist | 316 Washington Ave N, Orting, WA 98360-8404 | 2019-09-10 |
| 1770131633 | Patricia Garcia | Specialist/Technologist | 1979 N Devon Ave, East Wenatchee, WA 98802-5911 | 2019-09-03 |
| 1043779432 | Katharine Maria Levin | Specialist/Technologist | 4420 Ne St Johns Rd, Vancouver, WA 98661-2561 | 2019-03-15 |
| 1821568601 | Christen Ann Harlow | Specialist/Technologist | 250 E Campus Dr, Belfair, WA 98528 | 2018-12-05 |
| 1841765567 | Jami Danielle Rover | Specialist/Technologist | 702 N Granite Ave, Granite Falls, WA 98252-8774 | 2018-10-09 |
| 1083128920 | Leah Rachelle Norrbom | Specialist/Technologist | 2696 State Route 903, Cle Elum, WA 98922-8704 | 2017-11-30 |
| 1710404447 | Lynn Maurer | Specialist/Technologist | Po Box 225, Reardan, WA 99029-0225 | 2017-08-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
Please comment or provide details below to improve the information on MS. KELLY ANN SIEBECKE.
| 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.