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Deactivated NPI 1699258129 Deactivated / Inactive NPI Female Practitioner

Rielly Davis , SLP

Speech-Language Pathologist • Sedro Woolley, 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, Rielly Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 11, 2018
NPI Deactivation Date September 08, 2021
Total Practice Duration ~3 Years of Practice (2018 – 2021)

Professional Overview & Biography Verified Profile Summary

Rielly Davis, SLP was a registered Speech-Language Pathologist practicing in Sedro Woolley, WA. Throughout an active medical career spanning 3 years, Rielly Davis provided care at the practice location at 801 TRAIL RD until profile deactivation on 2021-09-08.

Practice Location & Contact Primary Location

Practice Address

801 Trail Rd

Sedro Woolley, WA 982849302

Telephone 3608553036

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Sedro Woolley, WA

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

Practicing in Sedro Woolley, 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: 2021-09-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA SI61194426

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.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

State License WA 60868541

Definition to come...

Practice Associates & Co-Workers

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

7 Associated Practitioners
Kelly Stilwell , MS, CCC-SLP

Speech-Language Pathologist

NPI 1104296532

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1487999561
Alysha Irons

Licensed Practical Nurse

NPI 1528600855
Brittany Crume , SLP

Speech-Language Pathologist

NPI 1659899052

Speech-Language Pathologist

Lisa Bohnas , OC60861758

Occupational Therapy Assistant

NPI 1770076341
Billie Griffeth , RN

Registered Nurse

NPI 1891822540

Registered Nurse

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location September 30, 2021

Registered at 801 TRAIL RD, SEDRO WOOLLEY, WA 982849302 (Tel: 3608553036)

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Updated Business Mailing Address September 30, 2021

Registered at 12229 MAPLE CREST DR, BURLINGTON, WA 982333568 (Tel: 3605402303)

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Provider Name / Credentials Updated September 30, 2021

Recorded as RIELLY DAVIS, SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2021

Specialist/Technologist (License #60868541 in WA)

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NPI Profile Deactivated September 08, 2021

Record deactivated on September 08, 2021

NPI Profile Active September 11, 2018

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2018

Registered at 801 TRAIL RD, SEDRO WOOLLEY, WA 982849302 (Tel: 3608553036)

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Updated Business Mailing Address September 11, 2018

Registered at 12229 MAPLE CREST DR, BURLINGTON, WA 982333568 (Tel: 3605402303)

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Provider Name / Credentials Updated September 11, 2018

Recorded as RIELLY DAVIS, SLP-A

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2018

Specialist/Technologist (License #60868541 in WA)

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Initial NPI Registration & Enumeration September 11, 2018

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: 1699258129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2018
Last Update: September 30, 2021
Deactivation Date: September 08, 2021
Sole Proprietor: No

Mailing Address

12229 Maple Crest Dr

Burlington, WA 982333568

Phone: 3605402303

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.