Individual provider Active NPI

Maria P. Meza, CCC-SLP

  • Speech-Language Pathologist
  • Washougal, WA
National Provider Identifier
1558034702
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
561167H Issued in WA
Practice address
4855 Evergreen Way
Washougal, WA 98671-9176
Phone
(360) 954-3000
NPI assigned
Jul 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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 561167H WA Primary

Addresses

Primary practice location

4855 Evergreen Way
Washougal, WA 98671-9176

Mailing address

11 Tree Ific Dr W
Washougal, WA 98671-7170
Phone (503) 577-7830

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Washougal Other

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

State licenses

LicenseStateTypeSpecialty
561167HWAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1558034702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TREE IFIC DR W",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986717170",
            "telephone_number": "503-577-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 EVERGREEN WAY",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986719176",
            "telephone_number": "360-954-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "MARIA",
        "middle_name": "P.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "561167H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Washougal",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Washougal",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Washougal",
            "address_1": "4855 Evergreen Way",
            "city": "Washougal",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986719176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washougal, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.