Active NPI
Mesa Eva Kate Webb, M.S., CCC-SLP
- Speech-Language Pathologist
- Buckley, WA
National Provider Identifier
1629851001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL61428524
- Practice address
- 340 White River Park Rd
Buckley, WA 98321 - Phone
- (360) 829-3354
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL61428524 | WA | Primary |
Addresses
Primary practice location
340 White River Park Rd
Buckley, WA 98321
Mailing address
10423 Rainier Ridge Blvd E Apt G307
Puyallup, WA 98374-8059
Phone (580) 262-1462
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
| License | State | Type | Specialty |
|---|---|---|---|
| LL61428524 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1629851001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10423 RAINIER RIDGE BLVD E APT G307",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983748059",
"telephone_number": "580-262-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 WHITE RIVER PARK RD",
"city": "BUCKLEY",
"state": "WA",
"postal_code": "98321",
"telephone_number": "360-829-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "MESA",
"middle_name": "EVA KATE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61428524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.