Individual provider Active NPI

Madellyn N Heimbaugh, MA, CCC-SLP

  • Speech-Language Pathologist
  • Guthrie Center, IA
National Provider Identifier
1902513898
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
090591 Issued in IA
Practice address
710 N 12TH St
Guthrie Center, IA 50115-1549
Phone
(641) 332-3810
Fax
(641) 332-2417
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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 090591 IA Primary

Addresses

Primary practice location

710 N 12TH St
Guthrie Center, IA 50115-1549

Mailing address

710 N 12TH St
Guthrie Center, IA 50115-1549
Phone (641) 332-3810

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie County Hospital CurrentSince Oct 1, 2022 Accepting new patients
Guthrie County Hospital CurrentSince Oct 1, 2022 Accepting new patients

Locations

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

312 N Fremont St
Stuart, IA 50250
Phone (515) 523-8050

312 N Fremont St
Ste B
Stuart, IA 50250
Phone (515) 523-8049

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1902513898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151549",
            "telephone_number": "641-332-3810",
            "fax_number": "641-332-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 12TH ST",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501151549",
            "telephone_number": "641-332-3810",
            "fax_number": "641-332-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMBAUGH",
        "first_name": "MADELLYN",
        "middle_name": "N",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "090591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie Center, IA

Sources for this page

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

Verify at the official NPI Registry.