Individual provider Active NPI

Heidi Lynn Raddatz, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Rhinelander, WI
National Provider Identifier
1669688347
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2847-154 Issued in WI
Practice address
900 Boyce Dr
Rhinelander, WI 54501-3835
Phone
(715) 365-6654
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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 2847-154 WI Primary

Addresses

Primary practice location

900 Boyce Dr
Rhinelander, WI 54501-3835

Mailing address

302 N Metonga Ave
Crandon, WI 54520-1344
Phone (715) 889-1584

Other names 1

  • Ms. Heidi Lynn Degroot Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602002168 WI Practitioner - Qualified Speech Language Pathologist 2264709872 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2847-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Apr 23, 2017 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Apr 23, 2017 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2003 E Winnebago St
Rhinelander, WI 54501
Phone (715) 361-2300

1630 N Chippewa Dr
Rhinelander, WI 54501
Phone (715) 361-5480

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

3402 Howland Ave
Ste 100
Weston, WI 54476
Phone (715) 355-5701

Organizations & group practices 7

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1669688347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N METONGA AVE",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201344",
            "telephone_number": "715-889-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BOYCE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013835",
            "telephone_number": "715-365-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDATZ",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2847-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "DEGROOT",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.