Individual provider Active NPI

Heather Hauch, MS, CCC-SLP

  • Speech-Language Pathologist
  • Richardson, TX
National Provider Identifier
1487972048
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA23177 Issued in FL
Practice address
320 Custer Rd
Richardson, TX 75080-5623
Phone
(972) 490-9055
Fax
(972) 490-9058
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA23177 FL Primary
Speech-Language Pathologist 235Z00000X 104810 TX

Addresses

Primary practice location

320 Custer Rd
Richardson, TX 75080-5623

Mailing address

320 Custer Rd
Richardson, TX 75080-5623
Phone (972) 490-9055

Other names 1

  • Heather Noble Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241126001136 TX Practitioner - Qualified Speech Language Pathologist 8820523962 Reassigns benefits to 1 organization
I20241126003671 FL Practitioner - Qualified Speech Language Pathologist 8820523962 Reassigns benefits to 1 organization
I20250103002426 CA Practitioner - Qualified Speech Language Pathologist 8820523962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
104810TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jan 13, 2025 Accepting new patients
The Warren Center, Inc Speech-Language Pathologist PastSince Jul 24, 2022 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

Organizations & group practices 2

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": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1487972048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CUSTER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805623",
            "telephone_number": "972-490-9055",
            "fax_number": "972-490-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CUSTER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805623",
            "telephone_number": "972-490-9055",
            "fax_number": "972-490-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUCH",
        "first_name": "HEATHER",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23177",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "NOBLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.