SHELLY GRACE LOZANO MARIANO CCC-SLP
NPI 1063928125
Speech-Language Pathologist in Seattle, WA

Active since December 27, 2017
12036 64TH AVE S, SEATTLE, WA 98178(206) 785-5898 Get Directions Write a Review

NPPES record last updated: February 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2023, Sep 23, 2021, Dec 27, 2017 (3 updates tracked since 2017).

About Shelly Grace Lozano Mariano Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY GRACE LOZANO MARIANO CCC-SLP (NPI 1063928125) is an individual speech-language pathologist provider in Seattle, Washington, licensed in Washington (61206262) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1063928125
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHELLY GRACE LOZANO MARIANOCredential: CCC-SLP
Location Address12036 64TH AVE SSeattle, WA 98178-3603
Mailing Address12036 64th Ave SSeattle, WA 98178-3603
Sole ProprietorNo
Enumeration DateDecember 27, 2017
Last NPPES UpdateFebruary 26, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2023
NPI 1063928125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in WA · 61206262
Definition
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.
Also ListedBehavior AnalystTaxonomy 103K00000X
12036 64TH AVE S, Seattle, WA 98178

Other Identifiers 1

Medicaid111524501WA

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
12036 64TH AVE S
SEATTLE, WA 98178

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Grace Mariano's NPI number?

The NPI number for Shelly Grace Mariano is 1063928125. It was assigned to this individual provider in the NPPES registry on December 27, 2017.

Where is Shelly Grace Mariano located?

Shelly Grace Mariano practices at 12036 64th Ave S, Seattle, WA 98178. The listed phone number is (206) 785-5898.

What is Shelly Grace Mariano's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Shelly Grace Mariano accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shelly Grace Mariano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelly Grace Mariano was last updated on February 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.