Active NPI
Heather Brockwell, M.S., CF-SLP
- Speech-Language Pathologist
- Salem, VA
National Provider Identifier
1912570953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1750 Lancing Dr Apt 236
Salem, VA 24153-7546 - Phone
- (804) 720-9022
- NPI assigned
- Jul 19, 2021
- 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 | Primary |
Addresses
Primary practice location
1750 Lancing Dr Apt 236
Salem, VA 24153-7546
Mailing address
1750 Lancing Dr Apt 236
Salem, VA 24153-7546
Phone (804) 720-9022
Other practice location 1
201 E Main St
Salem, VA 24153-3841
Phone (540) 375-2860
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1912570953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 LANCING DR APT 236",
"city": "SALEM",
"state": "VA",
"postal_code": "241537546",
"telephone_number": "804-720-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 LANCING DR APT 236",
"city": "SALEM",
"state": "VA",
"postal_code": "241537546",
"telephone_number": "804-720-9022"
}
],
"practiceLocations": [
{
"address_1": "201 E Main St",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "VA",
"postal_code": "241533841",
"country_code": "US",
"telephone_number": "540-375-2860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCKWELL",
"first_name": "HEATHER",
"credential": "M.S., CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.