Individual provider Active NPI

Heather Rae Ruoff, SLP

  • Speech-Language Pathologist
  • Lees Summit, MO
National Provider Identifier
1851470751
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2002006277 Issued in MO
Practice address
129 NE Parks View CT
Lees Summit, MO 64064-2353
Phone
(816) 588-3782
Fax
(816) 350-7668
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2002006277 MO Primary

Addresses

Primary practice location

129 NE Parks View CT
Lees Summit, MO 64064-2353

Mailing address

21200 E 52ND St CT S
Blue Springs, MO 64015-2247
Phone (816) 224-3345

Other identifiers 2

IdentifierTypeStateIssuer
36261011OtherMOBCBS - OT
36261021OtherMOBCBS - OC

Other names 1

  • Heather R Niebrugge Former name

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

LicenseStateTypeSpecialty
2002006277MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Therapies & Consulting, Inc. Speech-Language Pathologist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851470751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21200 E 52ND ST CT S",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640152247",
            "telephone_number": "816-224-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NE PARKS VIEW CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642353",
            "telephone_number": "816-588-3782",
            "fax_number": "816-350-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUOFF",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2002006277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - OT",
            "identifier": "36261011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - OC",
            "identifier": "36261021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "NIEBRUGGE",
            "middle_name": "R",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.