Individual provider Active NPI

Wendy Joy Popa, MS SLP CCC

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1194066431
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL 60284080 Issued in WA
Practice address
528 E Spokane Falls Blvd Ste 502
Spokane, WA 99202-5082
Phone
(509) 465-1252
Fax
(509) 465-1235
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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 LL 60284080 WA Primary

Addresses

Primary practice location

528 E Spokane Falls Blvd Ste 502
Spokane, WA 99202-5082

Mailing address

11615 W Hunt Rd
Cheney, WA 99004-9627
Phone (509) 434-6704

Other identifiers 1

IdentifierTypeStateIssuer
LL60284080OtherWAWA STATE LICENSE

Other names 1

  • Wendy Joy Reph Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LL 60284080WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraspark CurrentSince Dec 15, 2024 Accepting new patients
Winston Center for Attention, Language and Learning PS Speech-Language Pathologist CurrentSince Dec 15, 2024 Accepting new patients

Locations

528 E Spokane Falls Blvd
Ste 502
Spokane, WA 99202
Phone (509) 410-0726

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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1194066431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 W HUNT RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990049627",
            "telephone_number": "509-434-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E SPOKANE FALLS BLVD STE 502",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025082",
            "telephone_number": "509-465-1252",
            "fax_number": "509-465-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPA",
        "first_name": "WENDY",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "MS SLP CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 60284080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE LICENSE",
            "identifier": "LL60284080",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "REPH",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.