Individual provider Active NPI

Heather Hardie, M.S. CCC-SLP

  • Speech-Language Pathologist
  • San Francisco, CA
National Provider Identifier
1568866630
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
RPE-8510 Issued in CA
Practice address
90 Woodacre Dr Ste 101
San Francisco, CA 94132-1658
Phone
(415) 469-4988
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 RPE-8510 CA Primary

Addresses

Primary practice location

90 Woodacre Dr Ste 101
San Francisco, CA 94132-1658

Mailing address

90 Woodacre Dr Ste 101
San Francisco, CA 94132-1658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121000226 CA Practitioner - Qualified Speech Language Pathologist 0244608487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

90 Woodacre Dr
Suite 101
San Francisco, CA 94132-1658
Phone (415) 827-8779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22884CAMDPsychologist
RPE-8510CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fog City Speech and Language Therapy P.C. Speech-Language Pathologist CurrentSince Jul 28, 2022 Accepting new patients
Shannon Kong, Ms, CCC Speech-Language Pathologist Past Accepting new patients

Locations

90 Woodacre Dr
Ste 101
San Francisco, CA 94132
Phone (415) 661-2709

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1568866630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WOODACRE DR STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WOODACRE DR STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321658",
            "telephone_number": "415-469-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIE",
        "first_name": "HEATHER",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE-8510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.