Active NPI
Heather Hardie, M.S. CCC-SLP
- Speech-Language Pathologist
- San Francisco, CA
National Provider Identifier
1568866630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- RPE-8510
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22884 | CA | MD | Psychologist |
| RPE-8510 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fog City Speech and Language Therapy P.C. | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- San Francisco, CA
- NPI 1063137420
-
- Speech-Language Pathologist
- San Francisco, CA
- NPI 1720371990
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.