Individual provider Active NPI

Brenda Kay Hiegel, SLP

  • Speech-Language Pathologist
  • Longview, WA
National Provider Identifier
1992830608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00004192 Issued in WA
Practice address
1600 3Rd Ave
Longview, WA 98632-3231
Phone
(360) 425-9810
Fax
(360) 425-1053
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X LL00004192 WA Primary

Addresses

Primary practice location

1600 3Rd Ave
Longview, WA 98632-3231

Mailing address

1600 3Rd Ave
Longview, WA 98632-3231
Phone (360) 425-9810

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

State licenses

LicenseStateTypeSpecialty
LL00004192WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Center,Inc Speech-Language Pathologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992830608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 3RD AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323231",
            "telephone_number": "360-425-9810",
            "fax_number": "360-425-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 3RD AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323231",
            "telephone_number": "360-425-9810",
            "fax_number": "360-425-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEGEL",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00004192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.