Individual provider Active NPI

Heather Gonzalez, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1730588906
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 13193 Issued in FL
Practice address
3280 Progress Dr Ste 500
Orlando, FL 32826-2903
Phone
(407) 882-0468
Fax
(407) 904-8120
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 SA 13193 FL Primary

Addresses

Primary practice location

3280 Progress Dr Ste 500
Orlando, FL 32826-2903

Mailing address

613 Hampshire LN
Oviedo, FL 32765-7278
Phone (407) 310-4032

Other practice location 1

400 E Lake Mary Blvd
Sanford, FL 32773-7125
Phone (407) 320-0216

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240824000014 FL Practitioner - Qualified Speech Language Pathologist 0143769943 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SA 13193FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Central Florida Board of Trustees Speech-Language Pathologist CurrentSince Aug 13, 2024 Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Aug 13, 2024 Accepting new patients

Locations

3280 Progress Dr
Ste 500
Orlando, FL 32826
Phone (407) 882-0468

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1730588906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 HAMPSHIRE LN",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657278",
            "telephone_number": "407-310-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 PROGRESS DR STE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262903",
            "telephone_number": "407-882-0468",
            "fax_number": "407-904-8120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Lake Mary Blvd",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327737125",
            "country_code": "US",
            "telephone_number": "407-320-0216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 13193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.