Active NPI
Heather Wadsworth, SLP
- Speech-Language Pathologist
- Pasco, WA
National Provider Identifier
1134875347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 61158376
- Practice address
- 1200 N 14TH Ave Ste 295
Pasco, WA 99301-4195 - Phone
- (509) 619-7397
- NPI assigned
- Feb 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL613635669 | WA | |
| Speech-Language Pathologist | 235Z00000X | 61158376 | WA | Primary |
Addresses
Primary practice location
1200 N 14TH Ave Ste 295
Pasco, WA 99301-4195
Mailing address
1935 Hetrick St
Richland, WA 99354-2309
Phone (509) 378-8192
Other practice location 1
6972 Keene Rd
Richland, WA 99353-7022
Phone (509) 967-6413
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61158376 | WA | MD | Speech-Language Pathologist |
| LL613635669 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1134875347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 HETRICK ST",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993542309",
"telephone_number": "509-378-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N 14TH AVE STE 295",
"city": "PASCO",
"state": "WA",
"postal_code": "993014195",
"telephone_number": "509-619-7397"
}
],
"practiceLocations": [
{
"address_1": "6972 Keene Rd",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993537022",
"country_code": "US",
"telephone_number": "509-967-6413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WADSWORTH",
"first_name": "HEATHER",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL613635669",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "61158376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.