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MISS LE ETTA LYNN VANDERPOOL SLP
NPI 1508935594
Speech-Language Pathologist in Orange, CA

Active since November 06, 2006
1301 W PROVIDENCE AVE, ORANGE, CA 92868(714) 639-3990(714) 744-3841 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Le Etta Lynn Vanderpool Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS LE ETTA LYNN VANDERPOOL SLP (NPI 1508935594) is an individual speech-language pathologist provider in Orange, California, licensed in California (10142) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1508935594
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS LE ETTA LYNN VANDERPOOLCredential: SLP
Location Address1301 W PROVIDENCE AVEOrange, CA 92868-3808
Mailing Address1202 S Berkley StAnaheim, CA 92804-4607 · (714) 761-0542
Phone(714) 639-3990
Fax(714) 744-3841
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508935594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 10142
Definition
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.
1301 W PROVIDENCE AVE, Orange, CA 92868
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Le Etta Lynn Vanderpool Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Le Etta Vanderpool reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Of Orange County
0.1 mi
Pediatrics
1201 W LA VETA AVE
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Of Orange County
  • 190 clinicians in this Medicare group
NPI 1275975104 (714) 509-8649

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AYREN ELLEN DREYER SLP
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
JANELLE BRIANA CUBAS B.A.
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
PATRICIA MARIE ROSSI T-SLP
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 923-1527
YOMNA ELSIDDIG
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
TRACY MORILLO CCC-SLP
Speech-Language Pathologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
DARCY HEALEY OT
Occupational Therapist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
NISREEN ALKHAYER
Audiologist
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (714) 639-4990
MCCALL LOPICCOLO SLPA
Specialist/Technologist (Speech-Language Assistant)
1301 W PROVIDENCE AVE
ORANGE, CA 92868
Orange County (855) 901-7742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Le Etta Vanderpool's NPI number?

The NPI number for Le Etta Vanderpool is 1508935594. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Le Etta Vanderpool located?

Le Etta Vanderpool practices at 1301 W Providence Ave, Orange, CA 92868. The listed phone number is (714) 639-3990.

What is Le Etta Vanderpool's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Le Etta Vanderpool enrolled in Medicare?

Yes. Le Etta Vanderpool is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Le Etta Vanderpool's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Le Etta Vanderpool reassigns Medicare benefits to Children's Hospital Of Orange County (Orange, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Le Etta Vanderpool's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Le Etta Vanderpool was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.