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MOLLY ANN PRIDEAUX
NPI 1427166966
Speech-Language Pathologist in Tualatin, OR

Active since August 25, 2006
19185 SW 90TH AVE, TUALATIN, OR 97062(503) 885-7300 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Molly Ann Prideaux NPPES

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

MOLLY ANN PRIDEAUX (NPI 1427166966) is an individual speech-language pathologist provider in Tualatin, Oregon, licensed in Oregon (12646) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1427166966
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMOLLY ANN PRIDEAUX
Location Address19185 SW 90TH AVETualatin, OR 97062-7558
Mailing Address5288 Broadway StWest Linn, OR 97068-3306 · (541) 510-3482
Phone(503) 885-7300
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1427166966 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 OR · 12646
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.
19185 SW 90TH AVE, Tualatin, OR 97062
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Other Names 1

Former Name (1)Molly Ann Lancaster Slp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Ann Prideaux is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Molly Prideaux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaverton Rehab & Specialty Care, LLC
6.7 mi
Skilled Nursing Facility
11850 SW ALLEN BLVD
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1366469330 (503) 646-7164

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MRS. PAM K COCKRELL RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (866) 280-8818
NIKKI ALKIRE LCSW
Social Worker (Clinical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-5205
RYAN CATE PA
Physician Assistant (Medical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 813-2000
MR. RON MICHELLE HUNT MASTER DEGREE
Counselor (Mental Health)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-5357
MS. MARY E. MORRISON PA-C
Physician Assistant (Medical)
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-7300
LY TIEU-PYKA PT
Physical Therapist
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-5360
SARAH BREEZE CCC-SLP
Speech-Language Pathologist
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (800) 813-2000
MR. DONALD WILLIAM WISSUSIK M.A., M.S.
Counselor (Addiction (Substance Use Disorder))
19185 SW 90TH AVE
TUALATIN, OR 97062
Washington County (503) 885-7376

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 Molly Prideaux's NPI number?

The NPI number for Molly Prideaux is 1427166966. It was assigned to this individual provider in the NPPES registry on August 25, 2006. The provider is also known as Molly Ann Lancaster Slp.

Where is Molly Prideaux located?

Molly Prideaux practices at 19185 SW 90th Ave, Tualatin, OR 97062. The listed phone number is (503) 885-7300.

What is Molly Prideaux's specialty?

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

Is Molly Prideaux enrolled in Medicare?

Yes. Molly Prideaux is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Molly Prideaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Prideaux reassigns Medicare benefits to Beaverton Rehab & Specialty Care, LLC (Beaverton, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Molly Prideaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Molly Prideaux was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.