Active NPI
Heather Rundle, MS/CCC-SLP
- Speech-Language Pathologist
- Poughkeepsie, NY
National Provider Identifier
1952556524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 014555-1
- Practice address
- 401 Waterview Dr
Poughkeepsie, NY 12601-3952 - Phone
- (845) 489-3065
- NPI assigned
- Nov 24, 2008
- 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 | 014555-1 | NY | Primary |
Addresses
Primary practice location
401 Waterview Dr
Poughkeepsie, NY 12601-3952
Mailing address
401 Waterview Dr
Poughkeepsie, NY 12601-3952
Phone (845) 489-3065
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 |
|---|---|---|---|
| 014555-1 | NY | MD | Adult Development & Aging Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1952556524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WATERVIEW DR",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013952",
"telephone_number": "845-489-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WATERVIEW DR",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013952",
"telephone_number": "845-489-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNDLE",
"first_name": "HEATHER",
"name_prefix": "Mrs.",
"credential": "MS/CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "014555-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.