Individual provider Active NPI

Heather Wadsworth, SLP

  • Speech-Language Pathologist
  • Pasco, WA
National Provider Identifier
1134875347
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61158376 Issued in WA
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

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
61158376WAMDSpeech-Language Pathologist
LL613635669WAMDSpeech-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.

Verify at the official NPI Registry.