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MRS. KELLY ANNE WAGNER MS CCC-SLP
NPI 1235562307
Speech-Language Pathologist in Edmonds, WA

Active since August 13, 2013
7500 212TH ST SW STE 204, EDMONDS, WA 98026(360) 504-8893 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kelly Anne Wagner Ms Ccc-slp NPPES

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

MRS. KELLY ANNE WAGNER MS CCC-SLP (NPI 1235562307) is an individual speech-language pathologist provider in Edmonds, Washington, licensed in Washington (61092065) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1235562307
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KELLY ANNE WAGNERCredential: MS CCC-SLP
Location Address7500 212TH ST SW STE 204Edmonds, WA 98026-7617
Mailing Address7500 212th St Sw Ste 204Edmonds, WA 98026-7617 · (360) 504-8893
Phone(360) 504-8893
Sole ProprietorYes
Enumeration DateAugust 13, 2013
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1235562307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WA · 61092065
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.
7500 212TH ST SW STE 204, Edmonds, WA 98026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 2

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

SARAH ROOD THERAPY PLLC
Marriage & Family Therapist
7500 212TH ST SW STE 204
EDMONDS, WA 98026
Snohomish County (425) 298-7656
SARAH ROOD LMFT
Marriage & Family Therapist
7500 212TH ST SW STE 204
EDMONDS, WA 98026
Snohomish County (425) 298-7656

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 Kelly Wagner's NPI number?

The NPI number for Kelly Wagner is 1235562307. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Kelly Wagner located?

Kelly Wagner practices at 7500 212th St SW Ste 204, Edmonds, WA 98026. The listed phone number is (360) 504-8893.

What is Kelly Wagner's specialty?

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

What insurance does Kelly Wagner accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kelly Wagner 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 Kelly Wagner was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.