Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750861639 Individual Practitioner Female Practitioner

Audrey Wagner , MS, CCC-SLP

Speech-Language Pathologist • Federal Way, WA

Professional Overview & Biography Verified Profile Summary

Audrey Wagner, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Federal Way, WA. Practice services are available at 34515 9TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

34515 9th Ave S

Federal Way, WA 980036761

Telephone 2539447970
Associated Practice Facility / Clinic
🏢 St Francis Community Hospital Facility NPI 1093713091

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Federal Way, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
82 Specialists

Practicing in Federal Way, WA (4167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL60973136

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Secondary Practice Locations

1717 S J St

Tacoma, WA 984054933

Phone: 2534266729

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Tiffany Roark , OT

Occupational Therapist

NPI 1801516547

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location November 09, 2023

Registered at 34515 9TH AVE S, FEDERAL WAY, WA 980036761 (Tel: 2539447970)

📍
Updated Practice Location May 02, 2022

Registered at 1717 S J ST, TACOMA, WA 984054933 (Tel: 2534266729)

📍
Updated Business Mailing Address December 02, 2020

Registered at 35535 6TH AVE SW, FEDERAL WAY, WA 980238110 (Tel: 2538745445)

👤
Provider Name / Credentials Updated December 02, 2020

Recorded as AUDREY WAGNER, MS, CCC-SLP

📍
Updated Practice Location February 05, 2020

Registered at 35535 6TH PL SW, FEDERAL WAY, WA 98023 (Tel: 2538745445)

📍
Updated Business Mailing Address February 05, 2020

Registered at 600 SW 5TH CT, H404, RENTON, WA 98057 (Tel: 4697444642)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2020

Speech-Language Pathologist (License #LL60973136 in WA)

NPI Profile Active August 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2018

Registered at 7315 EUSTIS HUNT RD, SPANAWAY, WA 983875332 (Tel: 2536838900)

📍
Updated Business Mailing Address August 20, 2018

Registered at 3119 BERKSHIRE LN, CORINTH, TX 762101726 (Tel: 4697444642)

👤
Provider Name / Credentials Updated August 20, 2018

Recorded as AUDREY EUBANKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2018

Speech-Language Pathologist (License #SI60864923 in WA)

🟢
Initial NPI Registration & Enumeration August 20, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750861639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2018
Last Update: November 09, 2023
Sole Proprietor: Yes

Mailing Address

35535 6th Ave Sw

Federal Way, WA 980238110

Phone: 2538745445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.