Individual provider Active NPI

Charlene Hoffmeister, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Redmond, OR
National Provider Identifier
1497351324
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015765 Issued in OR
Practice address
3377 SW 28TH Street
Redmond
Redmond, OR 97756
Phone
(503) 453-3862
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 015765 OR Primary

Addresses

Primary practice location

3377 SW 28TH Street
Redmond
Redmond, OR 97756

Mailing address

652 NW Green Forest Cir
Redmond, OR 97756-1459
Phone (541) 604-8850

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
015765ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1497351324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 NW GREEN FOREST CIR",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561459",
            "telephone_number": "541-604-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 SW 28TH STREET",
            "address_2": "REDMOND",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "503-453-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMEISTER",
        "first_name": "CHARLENE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.