Active NPI
Heather Ring Mundy, SLP
- Speech-Language Pathologist
- Williamsburg, VA
National Provider Identifier
1821767708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202008495
- Practice address
- 1769 Jamestown Rd Ste 108
Williamsburg, VA 23185-2310 - Phone
- (757) 920-6774
- NPI assigned
- Sep 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202008495 | VA | Primary |
Addresses
Primary practice location
1769 Jamestown Rd Ste 108
Williamsburg, VA 23185-2310
Mailing address
106 Loxley LN
Williamsburg, VA 23185-8108
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 |
|---|---|---|---|
| 2202008495 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mundy Speech Therapy, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1769 Jamestown Rd
Ste 108
Williamsburg, VA 23185
Phone (757) 258-0853
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Williamsburg, VA
- NPI 1295488088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1821767708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 LOXLEY LN",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231858108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1769 JAMESTOWN RD STE 108",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231852310",
"telephone_number": "757-920-6774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDY",
"first_name": "HEATHER",
"middle_name": "RING",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202008495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.