Rebecca Hedegaard

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S4339 Issued in MS

Practice address

4211 Hospital St Ste 114
Pascagoula, MS 39581-5320

Phone

(228) 762-8960

Fax

(228) 769-1810

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Varnadore Former name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Encore Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1033218524

  MS, Single Specialty

  Medicare reassignment Care Compare group NPD
• Memorial Hospital at Gulfport

  • Urology Physician
  • Gulfport, MS
  • NPI 1093142598
  Medicare reassignment
• Encore Rehabilitation, Inc.

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313
  NPD
• Memorial Hospital at Gulfport

  • General Acute Care Hospital
  • Biloxi, MS
  • NPI 1215546635

  Single Specialty

  NPD
• Memorial Hospital at Gulfport

  • Emergency Medicine Physician
  • Gulfport, MS
  • NPI 1962780379

  Single Specialty

  NPD
• Reconnect Wellness Pascagoula LLC

  • Preferred Provider Organization
  • Pascagoula, MS
  • NPI 1033609581
  NPD (past)

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1407333602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3667",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033667",
            "telephone_number": "662-680-3148",
            "fax_number": "662-620-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 HOSPITAL ST STE 114",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815320",
            "telephone_number": "228-762-8960",
            "fax_number": "228-769-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDEGAARD",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "VARNADORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kylie Hart, PHARMD
• Hannah Camille Harwell
• James Lee Harwell, MD
• Iesha Cherelle Haynes
• Healthy Smiles Family Dentistry of Pascagoula
• Christina Hegarty, PT, DPT
• Meagan Rogers Heidelberg, WHNP-BC
• Deborah Jean Henley, CRNFA
• Jennifer Bosarge Henry, NP
• Ke'Aundria Henton

• Speech-Language Pathologist in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.