Active NPI
Josephine Heckenberg Lochrie, M.S.,CCC-SLP
- Speech-Language Pathologist
- Petaluma, CA
National Provider Identifier
1902543085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP21221
- Practice address
- 117 Tuxedo CT
Petaluma, CA 94954-6690 - Phone
- (650) 922-3189
- NPI assigned
- May 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | SP21221 | CA | Primary |
Addresses
Primary practice location
117 Tuxedo CT
Petaluma, CA 94954-6690
Mailing address
117 Tuxedo CT
Petaluma, CA 94954-6690
Phone (650) 922-3189
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Optional-none | Other | |
| Other URL | Optional | Other |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP21221 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1902543085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 TUXEDO CT",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546690",
"telephone_number": "650-922-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 TUXEDO CT",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546690",
"telephone_number": "650-922-3189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCHRIE",
"first_name": "JOSEPHINE",
"middle_name": "HECKENBERG",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP21221",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Optional-none",
"affiliation": "N",
"endpointDescription": "Optional-none",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Optional-none",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Optional-none",
"address_1": "117 Tuxedo Ct",
"city": "Petaluma",
"state": "CA",
"country_code": "US",
"postal_code": "949546690",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Optional",
"affiliation": "N",
"endpointDescription": "Business",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Optional",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "117 Tuxedo Ct",
"city": "Petaluma",
"state": "CA",
"country_code": "US",
"postal_code": "949546690",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.