Active NPI
Heather Macdougall, SLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1770063752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12938
- Practice address
- 4300 Sharon Rd Apt 531
Charlotte, NC 28211-6028 - Phone
- (301) 655-8793
- NPI assigned
- Aug 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 08186 | MD | |
| Speech-Language Pathologist | 235Z00000X | 12938 | NC | Primary |
Addresses
Primary practice location
4300 Sharon Rd Apt 531
Charlotte, NC 28211-6028
Mailing address
4300 Sharon Rd Apt 531
Charlotte, NC 28211-6028
Phone (301) 655-8793
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08186 | MD | MD | Occupational Therapist |
| 12938 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534550400000",
"number": "1770063752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SHARON RD APT 531",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282116028",
"telephone_number": "301-655-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 SHARON RD APT 531",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282116028",
"telephone_number": "301-655-8793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDOUGALL",
"first_name": "HEATHER",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-18",
"last_updated": "2018-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08186",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "12938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.