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Active NPI 1235562307 Individual Practitioner Female Practitioner

Kelly Anne Wagner , MS CCC-SLP

Speech-Language Pathologist • Edmonds, WA

Professional Overview & Biography Verified Profile Summary

Kelly Wagner, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Edmonds, WA. Practice services are available at 7500 212TH ST SW STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7500 212th St Sw Ste 204

Edmonds, WA 980267617

Telephone 3605048893
Associated Practice Facility / Clinic
🏢 Sarah Rood Therapy Pllc Facility NPI 1124848478

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Edmonds, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Edmonds, WA (4167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA 61092065

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sarah Rood , LMFT

Marriage & Family Therapist

NPI 1447630652

Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 11, 2025

Registered at 7500 212TH ST SW STE 204, EDMONDS, WA 980267617 (Tel: 3605048893)

📍
Updated Business Mailing Address June 11, 2025

Registered at 7500 212TH ST SW STE 204, EDMONDS, WA 980267617 (Tel: 3605048893)

👤
Provider Name / Credentials Updated June 11, 2025

Recorded as KELLY WAGNER, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2025

Speech-Language Pathologist (License #61092065 in WA)

NPI Profile Active August 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2013

Registered at 331 E PARK ST, WEISER, ID 836722053 (Tel: 2085490206)

📍
Updated Business Mailing Address August 13, 2013

Registered at 331 E PARK ST, WEISER, ID 836722053 (Tel: 2088902995)

👤
Provider Name / Credentials Updated August 13, 2013

Recorded as KELLY WAGNER, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2013

Speech-Language Pathologist (License #TSLP-2301 in ID)

🟢
Initial NPI Registration & Enumeration August 13, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235562307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2013
Last Update: June 11, 2025
Sole Proprietor: Yes

Mailing Address

7500 212th St Sw Ste 204

Edmonds, WA 980267617

Phone: 3605048893

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.