Heather Straka Pecoraro

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

07275 Issued in MD

Practice address

1500 Imla St
Baltimore, MD 21224-6142

Phone

(410) 396-9086

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1801442850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7513 IROQUOIS AVE",
            "city": "SPARROWS POINT",
            "state": "MD",
            "postal_code": "212192123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 IMLA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246142",
            "telephone_number": "410-396-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORARO",
        "first_name": "HEATHER",
        "middle_name": "STRAKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "07275",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hspecoraro@bcps.k12.md.us",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Imla St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212246142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer G Peck, LMSW
• Kathryn Peck
• Lydia Pecker, MD
• Oluwamayomide Akwele Pecku
• Dawn R Pecora, PA-C
• Philip Angelo Pecoraro, LCSW-C, DCSW
• Jennifer M Pederson, PA-C
• Pediatric Partners LLC
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatrix Medical Group of the Mid-Atlantic PC

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.