Individual provider Active NPI

Deanne Wayt, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Laguna Niguel, CA
National Provider Identifier
1194036319
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP26378 Issued in CA
Practice address
30161 Pacific Island Dr Apt 125
Laguna Niguel, CA 92677-6307
Phone
(949) 393-7799
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP26378 CA Primary

Addresses

Primary practice location

30161 Pacific Island Dr Apt 125
Laguna Niguel, CA 92677-6307

Mailing address

29911 Niguel Rd Unit 6512
Laguna Niguel, CA 92607-2421
Phone (949) 393-7799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP26378CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Koala Bilingual Speech Therapy, Inc. Speech-Language Pathologist CurrentSince Apr 17, 2020 Accepting new patients
Feld Care Therapy Inc Speech-Language Pathologist Past Accepting new patients

Locations

29911 Niguel Rd
Unit 6512
Laguna Niguel, CA 92607

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1194036319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29911 NIGUEL RD UNIT 6512",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926072421",
            "telephone_number": "949-393-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30161 PACIFIC ISLAND DR APT 125",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926776307",
            "telephone_number": "949-393-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYT",
        "first_name": "DEANNE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP26378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.