Individual provider Active NPI

Jolie Hettena

  • Speech-Language Pathologist
  • Merrick, NY
National Provider Identifier
1013845213
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2069 Brighton Way
Merrick, NY 11566-5019
Phone
(516) 254-5664
NPI assigned
May 11, 2026
Reactivated
Aug 12, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X NY Primary

Addresses

Primary practice location

2069 Brighton Way
Merrick, NY 11566-5019

Mailing address

2069 Brighton Way
Merrick, NY 11566-5019
Phone (516) 254-5664

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

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1013845213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 BRIGHTON WAY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665019",
            "telephone_number": "516-254-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 BRIGHTON WAY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665019",
            "telephone_number": "516-254-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTENA",
        "first_name": "JOLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-08-12",
        "certification_date": "2026-05-10",
        "deactivation_date": "2026-05-15",
        "reactivation_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.