Active NPI
Edward Hebert, MA CCC-SLP
- Speech-Language Pathologist
- Scranton, PA
National Provider Identifier
1689984692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL009204
- Practice address
- 2300 Adams Ave
Scranton, PA 18509-1514 - Phone
- (570) 348-6299
- NPI assigned
- Oct 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | SL009204 | PA | Primary |
Addresses
Primary practice location
2300 Adams Ave
Scranton, PA 18509-1514
Mailing address
2300 Adams Ave
Scranton, PA 18509-1514
Phone (570) 348-6299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
157 S Havana Rd
Venice, FL 34292-3104
Phone 9414930016320
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL009204 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loveland Center, Inc. | Current | Accepting new patients | |
| Loveland Center, Inc. | Current | Accepting new patients |
Locations
157 S Havana Rd
Venice, FL 34292
Phone (941) 493-0016
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.
-
- Health Service Clinic/Center
- Venice, FL
- NPI 1467823419
-
- Rehabilitation Clinic/Center
- Venice, FL
- NPI 1528873759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1689984692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 ADAMS AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185091514",
"telephone_number": "570-348-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 ADAMS AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185091514",
"telephone_number": "570-348-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "EDWARD",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-13",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL009204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.