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Active NPI 1497425748 Individual Practitioner Female Practitioner

Carli Van Leishout

Specialist/Technologist - Speech-Language Assistant • Enumclaw, WA

Professional Overview & Biography Verified Profile Summary

Carli Van Leishout is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Enumclaw, WA. Practice services are available at 2929 MCDOUGALL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2929 Mcdougall Ave

Enumclaw, WA 980227410

Telephone 3608027104
Associated Practice Facility / Clinic
🏢 Enumclaw School District Facility NPI 1578590865

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Enumclaw, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Enumclaw, WA (248 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: 2021-09-02
Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License WA 60781959

Definition to come...

Practice Associates & Co-Workers

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

12 Associated Practitioners
Alice Coles , COTA, L

Occupational Therapy Assistant

NPI 1063763373

Certified Occupational Therapy Assistant, L

Jill Thornton

Speech-Language Pathologist

NPI 1326398066
Sarah Lee

Registered Nurse - School

NPI 1336519438
Jennifer Stroh , LPN

Licensed Practical Nurse

NPI 1346676608

Licensed Practical Nurse

Deana Ostgard , COTA, L

Occupational Therapy Assistant

NPI 1407256399

Certified Occupational Therapy Assistant, L

Christa Boulier

Speech-Language Pathologist

NPI 1427308907

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 17, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2021

Registered at 2929 MCDOUGALL AVE, ENUMCLAW, WA 980227410 (Tel: 3608027104)

📍
Updated Business Mailing Address September 17, 2021

Registered at 6222 S ALDER ST APT 3, TACOMA, WA 984094117

👤
Provider Name / Credentials Updated September 17, 2021

Recorded as CARLI VAN LEISHOUT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2021

Specialist/Technologist (License #60781959 in WA)

🟢
Initial NPI Registration & Enumeration September 17, 2021

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: 1497425748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2021
Last Update: September 17, 2021
Sole Proprietor: No

Mailing Address

6222 S Alder St Apt 3

Tacoma, WA 984094117

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.