Active NPI
Heidi Boggs, MACCC-S
- Speech-Language Pathologist
- Proctorville, OH
National Provider Identifier
1770882201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 5894
- Practice address
- 21 Private Drive 155
Proctorville, OH 45669-7877 - Phone
- (304) 633-1833
- Fax
- (304) 633-1833
- NPI assigned
- Mar 23, 2011
- 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 | SP 5894 | OH | Primary |
Addresses
Primary practice location
21 Private Drive 155
Proctorville, OH 45669-7877
Mailing address
21 Private Drive 155
Proctorville, OH 45669-7877
Phone (304) 633-1833
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 5894 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1770882201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 PRIVATE DRIVE 155",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456697877",
"telephone_number": "304-633-1833",
"fax_number": "304-633-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PRIVATE DRIVE 155",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456697877",
"telephone_number": "304-633-1833",
"fax_number": "304-633-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "HEIDI",
"credential": "MACCC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-23",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 5894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Proctorville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.