Individual provider Active NPI

Meagan Heinold

  • Speech-Language Pathologist
  • Marshfield, MA
National Provider Identifier
1437617404
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
76692 Issued in MA
Practice address
55 Marshhawk Way
Marshfield, MA 02050-2669
Phone
(781) 566-0575
NPI assigned
Mar 7, 2019
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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 76692 MA Primary

Addresses

Primary practice location

55 Marshhawk Way
Marshfield, MA 02050-2669

Mailing address

55 Marshhawk Way
Marshfield, MA 02050-2669
Phone (781) 566-0575

Other identifiers 1

IdentifierTypeStateIssuer
76692OtherMADIVISION OF PROFESSIONAL LICENSURE

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

LicenseStateTypeSpecialty
76692MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshfield Speech and Language Therapy LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1437617404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MARSHHAWK WAY",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502669",
            "telephone_number": "781-566-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MARSHHAWK WAY",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502669",
            "telephone_number": "781-566-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINOLD",
        "first_name": "MEAGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "76692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF PROFESSIONAL LICENSURE",
            "identifier": "76692",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.