Heather Katherine Gustison

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146007719 Issued in IL

Practice address

1005 Broadway St
Quincy, IL 62301-2834

Phone

(217) 223-8400

Fax

(217) 223-9945

NPI assigned

Oct 27, 2009

Last updated

Oct 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1063748937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7005",
            "address_2": "14TH AND BROADWAY PO BOX 7005",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623057005",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTISON",
        "first_name": "HEATHER",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007719",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004028834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrie Grubbs
• Jennifer Lee Guilfoyle, M.S.ED., LCPC, NCC
• Melinda E. Gunterman, PT
• Henry Guoti
• Yati Gupta, MD
• Robert W Gutekunst, MD
• Brianne Blythe Guymon, MS, ATC
• Robert Haag, MD
• Robert J Haas, LCSW
• Mike Horst Hackmann, M.D.

• Speech-Language Pathologist in Quincy, IL
• Providers in Quincy, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.