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Deactivated NPI 1871036004 Deactivated / Inactive NPI Male Practitioner

Andrew Anderson , MA

Speech-Language Pathologist • Puyallup, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andrew Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 20, 2016
NPI Deactivation Date February 19, 2026
Total Practice Duration ~10 Years of Practice (2016 – 2026)

Professional Overview & Biography Verified Profile Summary

Andrew Anderson, MA was a registered Speech-Language Pathologist practicing in Puyallup, WA. Throughout an active medical career spanning 10 years, Andrew Anderson provided care at the practice location at 402 15TH AVE SE until profile deactivation on 2026-02-19.

Practice Location & Contact Primary Location

Practice Address

402 15th Ave Se
#100

Puyallup, WA 983723709

Telephone 2536975200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
93 Specialists

Practicing in Puyallup, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA SI60695923

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

40 Associated Practitioners
Amy Coe , PTA

Physical Therapy Assistant

NPI 1003195090

Physical Therapist Assistant

Marilee Fijalka-Carr , MPT

Physical Therapist

NPI 1013061605

Master of Physical Therapy

Makenzie Dearborn , OTR, L

Occupational Therapist

NPI 1023462652

Occupational Therapist Registered, L

Claire Swiatek

Occupational Therapist

NPI 1043035900
Mitchell Mclaughlin , LMFTA

Marriage & Family Therapist

NPI 1043090327
Alexandra Haddad

Speech-Language Pathologist

NPI 1053129726

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 19, 2026

Record deactivated on February 19, 2026

NPI Profile Active November 20, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 20, 2016

Registered at 402 15TH AVE SE, #100, PUYALLUP, WA 983723709 (Tel: 2536975200)

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Updated Business Mailing Address November 20, 2016

Registered at 402 15TH AVE SE, #100, PUYALLUP, WA 983723709 (Tel: 2536975200)

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Provider Name / Credentials Updated November 20, 2016

Recorded as ANDREW ANDERSON, M.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2016

Speech-Language Pathologist (License #SI60695923 in WA)

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Initial NPI Registration & Enumeration November 20, 2016

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: 1871036004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2016
Last Update: November 20, 2016
Deactivation Date: February 19, 2026

Mailing Address

402 15th Ave Se, #100

Puyallup, WA 983723709

Phone: 2536975200

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

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