Active NPI
Aimee Herron, CCC-SLP
- Speech-Language Pathologist
- Waterville, ME
National Provider Identifier
1205503026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP4375
- Practice address
- 27 Cool St
Waterville, ME 04901-5221 - Phone
- (207) 873-0721
- NPI assigned
- Aug 28, 2021
- 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 | 112510 | TX | |
| Speech-Language Pathologist | 235Z00000X | SP4375 | ME | Primary |
Addresses
Primary practice location
27 Cool St
Waterville, ME 04901-5221
Mailing address
5310 Bradford Dr
Dallas, TX 75235-8315
Phone (678) 852-1384
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 |
|---|---|---|---|
| SP4375 | ME | MD | Speech-Language Pathologist |
| 112510 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1205503026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 BRADFORD DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752358315",
"telephone_number": "678-852-1384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 COOL ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015221",
"telephone_number": "207-873-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "AIMEE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-28",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "112510",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP4375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.