Active NPI
Heather Gotthelf, MS, CCC-SLP
- Speech-Language Pathologist
- Auburn, AL
National Provider Identifier
1932261518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3243
- Practice address
- 2408 E University Dr Ste 109
Auburn, AL 36830-9404 - Phone
- (334) 734-5511
- Fax
- (334) 734-5512
- NPI assigned
- Dec 13, 2006
- Last updated
- Feb 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 3243 | AL | Primary |
Addresses
Primary practice location
2408 E University Dr Ste 109
Auburn, AL 36830-9404
Mailing address
335 Parkway 575 Ste 100
Woodstock, GA 30188-3878
Phone (770) 591-5852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208904 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3243 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn TLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2000 Samglenn Dr
Ste 100
Auburn, AL 36830
Phone (334) 734-5511
2408 E University Dr
Ste 109
Auburn, AL 36830
Phone (334) 734-5511
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Auburn, AL
- NPI 1861901993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1932261518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 PARKWAY 575 STE 100",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301883878",
"telephone_number": "770-591-5852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 E UNIVERSITY DR STE 109",
"city": "AUBURN",
"state": "AL",
"postal_code": "368309404",
"telephone_number": "334-734-5511",
"fax_number": "334-734-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTHELF",
"first_name": "HEATHER",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208904",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.