Individual provider Active NPI

Sydney Euchner, MS, CCC-SLP

  • Speech-Language Pathologist
  • Hiawatha, IA
National Provider Identifier
1467097097
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
077932 Issued in IA
Practice address
1717 Boyson Rd
Hiawatha, IA 52233-2313
Phone
(319) 200-2004
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 077932 IA Primary

Addresses

Primary practice location

1717 Boyson Rd
Hiawatha, IA 52233-2313

Mailing address

107 8TH St
Van Horne, IA 52346-9894
Phone (319) 230-7796

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
077932IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Pediatric Therapy, LLC Speech-Language Pathologist CurrentSince Nov 10, 2019 Accepting new patients

Locations

1717 Boyson Rd
Hiawatha, IA 52233
Phone (319) 200-2004

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1467097097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 8TH ST",
            "city": "VAN HORNE",
            "state": "IA",
            "postal_code": "523469894",
            "telephone_number": "319-230-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 BOYSON RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332313",
            "telephone_number": "319-200-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUCHNER",
        "first_name": "SYDNEY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "077932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.