Heather Stoddard, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12359 Issued in NC

Practice address

4130 Oleander Dr
Wilmington, NC 28403

Phone

(910) 679-8385

NPI assigned

Mar 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Heather Manorek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Coastal Occupational Therapy

  • Early Intervention Provider Agency
  • Wilmington, NC
  • NPI 1821467499
  NPD (past)
• Coastal Speech and Reading Center

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1649626466
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1124481130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 STONEY CREEK LN",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284517797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-679-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 S Genois St",
            "address_2": "APT A",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701197028",
            "country_code": "US",
            "telephone_number": "610-496-3597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6770 Parker Farm Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284053183",
            "country_code": "US",
            "telephone_number": "910-679-8385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "HEATHER",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7100",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MANOREK",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peggy P Stine, CRNA
• Gina Morris Stinson, PA
• Jeffrey Allen Stinson, M.D.
• Matthew Stinson, OTR
• Jane Stjohn, LPA, LCAS
• Jennifer Kate Stoddard, MD
• Kassandra J. Stoffer, FNP
• Brynn Lane Stofferahn, CRNA
• Deborah Ann Stoia, PHYSICIAN ASSISTANT
• Michael A Stoiko, MD

• Speech-Language Pathologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.