Individual provider Active NPI

Heidii I Roberts, CCC-SLP

  • Speech-Language Pathologist
  • Milwaukie, OR
National Provider Identifier
1568601318
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11741 Issued in OR
Practice address
2305 SE Washington St Ste 102
Milwaukie, OR 97222-7647
Phone
(503) 550-3787
Fax
(503) 654-1014
NPI assigned
Feb 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 11741 OR Primary

Addresses

Primary practice location

2305 SE Washington St Ste 102
Milwaukie, OR 97222-7647

Mailing address

13950 SE 114TH CT
Clackamas, OR 97015-8518
Phone (503) 550-3787

Other identifiers 1

IdentifierTypeStateIssuer
500656249MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003001639 ID Practitioner - Qualified Speech Language Pathologist 3779089123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11720 W Hiddenlake Dr
Star, ID 83669-5733

8601 W Emerald St
Suite 150
Boise, ID 83704-4841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11741ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chatterton Speech Therapy, LLC Speech-Language Pathologist CurrentSince Sep 18, 2025 Accepting new patients
Clackamas Speech LLC Past Accepting new patients

Locations

8601 W Emerald St
Ste 150
Boise, ID 83704
Phone (208) 321-0634

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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568601318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 SE 114TH CT",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158518",
            "telephone_number": "503-550-3787",
            "fax_number": "503-698-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SE WASHINGTON ST STE 102",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227647",
            "telephone_number": "503-550-3787",
            "fax_number": "503-654-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HEIDII",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "11741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500656249",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.