Individual provider Active NPI

Heather Krug

  • Speech-Language Pathologist
  • Richland Center, WI
National Provider Identifier
1083879365
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3079-154 Issued in WI
Practice address
1990 Bohmann Dr
Richland Center, WI 53581-2909
Phone
(608) 649-4483
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 3079-154 WI Primary

Addresses

Primary practice location

1990 Bohmann Dr
Richland Center, WI 53581-2909

Mailing address

PO Box 649
Richland Center, WI 53581-0649
Phone (608) 647-6106

Other practice location 1

1996 US Hwy 14 W
Richland Center, WI 53581-1352
Phone (608) 649-4483

Other practice location 2

1801 State Hwy 80 S
Richland Center, WI 53581-3110
Phone (608) 649-4483

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3079-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1083879365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535810649",
            "telephone_number": "608-647-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 BOHMANN DR",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812909",
            "telephone_number": "608-649-4483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1996 US Hwy 14 W",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535811352",
            "country_code": "US",
            "telephone_number": "608-649-4483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 State Hwy 80 S",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535813110",
            "country_code": "US",
            "telephone_number": "608-649-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUG",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "3079-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.