Provail
Provail is a healthcare organization registered as Speech-Language Pathologist in Seattle, WA, holding Type 2 (organization) NPI 1477760197 since 2007. The authorized official on file is Michael Hatzenbeler, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477760197 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Provail |
| Other name | <Unavail> |
| Practice address | 12550 AURORA AVE N, Seattle, WA, 98133 |
| Phone | 2063637303 |
| Fax | 2068260181 |
| Enumeration date | 2007-05-16 |
| Last updated in NPPES | 2018-06-21 |
Authorized official
| Name | Michael Hatzenbeler |
|---|---|
| Title | Ceo |
| Phone | 2063637303 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | Primary | SI00004391 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55-0174569 | Other | WA | LABOR AND INDUSTRIES |
| 7070949-8347395 | Medicaid | WA | — |
| 7681083-8464992 | Medicaid | WA | — |
| 7368087 | Other | WA | AETNA CLINIC NUMBER |
| 7070949-8347429 | Medicaid | WA | — |
| 7681083-8415291 | Medicaid | WA | — |
| 397572001 | Other | WA | GROUP HEALTH PROVIDER NUM |
Copy-ready billing details
Provider: Provail NPI: 1477760197 Taxonomy: 235Z00000X (Speech-Language Pathologist) Address: 12550 AURORA AVE N, Seattle, WA, 98133
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1629013958 | Jennifer Boyce | Individual | Occupational Therapist | Seattle, WA |
| 1831285634 | Donna Cole Wilson | Individual | Speech-Language Pathologist | Seattle, WA |
| 1235257098 | Kelly Kuehl | Individual | Speech-Language Pathologist | Seattle, WA |
| 1912297722 | Lee Gibson | Individual | Occupational Therapy Assistant | Seattle, WA |
| 1104104678 | Amanda Wydeveld | Individual | Speech-Language Pathologist | Seattle, WA |
| 1962769067 | Francis Olson | Individual | Specialist | Seattle, WA |
| 1871857946 | Provail | Organization | Rehabilitation Clinic/Center | Seattle, WA |
| 1053676312 | Jennifer Anderson | Individual | Occupational Therapist | Seattle, WA |
Verify this record
Cross-check NPI 1477760197 against the authoritative CMS record: view Provail on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Provail located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2018-06-21.