Heidi L Woodworth, MA CCC-SLP

Key facts

NPI

1861580458

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

Practice address

60 Lane 880 Snow LK
Fremont, IN 46737-9037

Phone

(260) 668-6232

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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 Services, P.C. Speech-Language Pathologist · Coldwater, MI · NPI 1538253885
  NPD (past) SPEECH-LANGUAGE PATHOLOGIST
• Speech and Language Services, P.C. Speech-Language Pathologist · Coldwater, MI · NPI 1821213901
  NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 6, 2021.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1861580458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CHURCH ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361756",
            "telephone_number": "517-278-3384",
            "fax_number": "517-279-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LANE 880 SNOW LK",
            "city": "FREMONT",
            "state": "IN",
            "postal_code": "467379037",
            "telephone_number": "260-668-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "HEIDI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Fremont, IN · Speech-Language Pathologist in Indiana