Individual provider Active NPI

Paulette Sue Heter, MA CCC-SLP/L

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1639362080
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2309 Issued in KS
Practice address
415 N Lancaster CT
Wichita, KS 67230-7808
Phone
(316) 644-7919
NPI assigned
Aug 20, 2007
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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 2309 KS Primary

Addresses

Primary practice location

415 N Lancaster CT
Wichita, KS 67230-7808

Mailing address

1515 N Pine Grove St
Wichita, KS 67212-6958
Phone (316) 644-7919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161212000948 KS Practitioner - Qualified Speech Language Pathologist 8426338302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stay Home Solutions for Seniors LLCGroup PAC ID 0244634616, 6 clinicians

Practice addresses (Care Compare)

415 N Lancaster CT
Wichita, KS 67230-7808
Phone (316) 644-7919

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stay Home Solutions for Seniors, LLC Speech-Language Pathologist CurrentSince Jun 22, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1639362080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N PINE GROVE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126958",
            "telephone_number": "316-644-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N LANCASTER CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672307808",
            "telephone_number": "316-644-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETER",
        "first_name": "PAULETTE",
        "middle_name": "SUE",
        "credential": "MA CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.