Heather Ann Gromala, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2554-154 Issued in WI

Practice address

903 Main Ave
Crivitz, WI 54114-1619

Phone

(715) 854-2717

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Heather Ann Johnston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1942475520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3238 COUNTY ROAD RW",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541579609",
            "telephone_number": "715-582-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MAIN AVE",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541141619",
            "telephone_number": "715-854-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMALA",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2554-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN DEPARTMENT OF REGULATION AND LICENSING",
            "identifier": "2554-154",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42560000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "12046075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "JOHNSTON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crivitz Medical Center
• Peter Curio, M.D.
• Virginia L Deschane, RN
• Eric R Downs, LPC
• Amel Mohamed Elshaier, APNP
• Ezra Gruszynski, PHARMD
• Helpful Healing Counseling, LLC
• Eunice Kamps
• Amy Krueger, RN
• David Roland Lecloux, M.D.

• Speech-Language Pathologist in Crivitz, WI
• Providers in Crivitz, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.