Individual provider Active NPI

Heidi Ruth Sanders, M.S.

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1174177760
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1402 Commerce Ave
Huntington, WV 25701-1611
Phone
(304) 412-4533
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 Primary

Addresses

Primary practice location

1402 Commerce Ave
Huntington, WV 25701-1611

Mailing address

1402 Commerce Ave
Huntington, WV 25701-1611
Phone (304) 412-4533

Other names 1

  • Heidi Ruth Dennison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324002411 WV Practitioner - Qualified Speech Language Pathologist 2567890650 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall University Speech-Language Pathologist CurrentSince Sep 1, 2024 Accepting new patients
Autism Services Center, Inc. Speech-Language Pathologist CurrentSince Mar 1, 2020 Accepting new patients
University Physicians & Surgeons, Inc PastSince Sep 1, 2024 Accepting new patients

Locations

1402 Commerce Ave
Huntington, WV 25701
Phone (304) 412-4533

10 6th Ave W
Huntington, WV 25701
Phone (304) 525-8014

1 John Marshall Dr
#143
Huntington, WV 25755
Phone (304) 696-3641

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1174177760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 COMMERCE AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011611",
            "telephone_number": "304-412-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 COMMERCE AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011611",
            "telephone_number": "304-412-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "HEIDI",
        "middle_name": "RUTH",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "DENNISON",
            "middle_name": "RUTH",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.