Individual provider Active NPI

Heather Gaddis, SLP

  • Speech-Language Pathologist
  • Nicholasville, KY
National Provider Identifier
1083543797
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
142671 Issued in KY
Practice address
78 Summertree Dr
Nicholasville, KY 40356-9714
Phone
(859) 553-6474
Fax
(859) 901-0015
NPI assigned
May 18, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 142671 KY Primary

Addresses

Primary practice location

78 Summertree Dr
Nicholasville, KY 40356-9714

Mailing address

78 Summertree Dr
Nicholasville, KY 40356-9714
Phone (859) 553-6474

Other identifiers 1

IdentifierTypeStateIssuer
7101154510MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

78 Summertree Dr
Nicholasville, KY 40356-9714

PO Box
Suite 11
Lexington, KY 40588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142671KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Consultants of Kentucky LLC Speech-Language Pathologist CurrentSince May 1, 2026 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26732/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1083543797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SUMMERTREE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569714",
            "telephone_number": "859-553-6474",
            "fax_number": "859-901-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SUMMERTREE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569714",
            "telephone_number": "859-553-6474",
            "fax_number": "859-901-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "HEATHER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "142671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101154510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.