Active NPI
Heather Hodges Schambaugh, MS, CCC-SLP
- Speech-Language Pathologist
- Crowley, LA
National Provider Identifier
1700167483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6490
- Practice address
- 261 Broadacres Dr
Crowley, LA 70526-2018 - Phone
- (337) 789-9791
- NPI assigned
- Sep 8, 2011
- Last updated
- Oct 11, 2022
- Sex
- Female
- 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 | 6490 | LA | Primary |
Addresses
Primary practice location
261 Broadacres Dr
Crowley, LA 70526-2018
Mailing address
261 Broadacres Dr
Crowley, LA 70526-2018
Phone (337) 789-9791
Other practice location 1
516 SE Court Circle
Crowley, LA 70526-4300
Phone (337) 788-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2319701 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6490 | LA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadiana Speech Therapy Sevices | Speech-Language Pathologist | Past | 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.
-
dba Acadiana Speech Therapy
- Speech-Language Pathologist
- Crowley, LA
- NPI 1740443894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1700167483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 BROADACRES DR",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705262018",
"telephone_number": "337-789-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 BROADACRES DR",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705262018",
"telephone_number": "337-789-9791"
}
],
"practiceLocations": [
{
"address_1": "516 SE Court Circle",
"address_purpose": "LOCATION",
"city": "Crowley",
"state": "LA",
"postal_code": "705264300",
"country_code": "US",
"telephone_number": "337-788-2300",
"fax_number": "337-788-3219",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHAMBAUGH",
"first_name": "HEATHER",
"middle_name": "HODGES",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "6490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2319701",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.