Active NPI
Heather Zupan, CCC-SLP
- Speech-Language Pathologist
- Thermopolis, WY
National Provider Identifier
1275025934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-228
- Practice address
- 1210 Canyon Hills Rd
Thermopolis, WY 82443-3137 - Phone
- (307) 864-5591
- NPI assigned
- May 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-228 | WY | Primary |
Addresses
Primary practice location
1210 Canyon Hills Rd
Thermopolis, WY 82443-3137
Mailing address
718 Richards St
Thermopolis, WY 82443-3044
Phone (307) 921-9176
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 |
|---|---|---|---|
| SP-228 | WY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1275025934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 RICHARDS ST",
"city": "THERMOPOLIS",
"state": "WY",
"postal_code": "824433044",
"telephone_number": "307-921-9176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 CANYON HILLS RD",
"city": "THERMOPOLIS",
"state": "WY",
"postal_code": "824433137",
"telephone_number": "307-864-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUPAN",
"first_name": "HEATHER",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WY",
"license": "SP-228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thermopolis, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.