Heidi Doud

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016621 Issued in OR

Practice address

2198 NE Stephens St Ste 101
Roseburg, OR 97470-1410

Phone

(541) 900-1418

Fax

(541) 900-1419

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heidi Ewens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Explore Engage Enjoy

  • Pediatric Occupational Therapist
  • Roseburg, OR
  • NPI 1073212924

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1295550960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2198 NE STEPHENS ST STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701410",
            "telephone_number": "541-900-1418",
            "fax_number": "541-900-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 NE STEPHENS ST STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701410",
            "telephone_number": "541-900-1418",
            "fax_number": "541-900-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUD",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "EWENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald E. Wonderly MD PC
• Cassandra Mae Donlon-Silvestri, PMHNP
• Thirupathi Reddy Dontam
• Ivy Doolittle
• William D Doubledee
• Stephanie R Doud
• Wendy Dougherty, R.D.H
• Douglas a. Bitter M.D., P.C.
• Douglas County Childrens Center, Inc
• Douglas County Fire District No. 2

• Speech-Language Pathologist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.