Individual provider Active NPI

Susan Fox Heston, MS CCC-SLP

  • Speech-Language Pathologist
  • Sunnyvale, TX
National Provider Identifier
1033345152
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104909 Issued in TX
Practice address
417 E Tripp Rd
Sunnyvale, TX 75182-9544
Phone
(972) 226-5974
Fax
(214) 350-3439
NPI assigned
Jun 3, 2009
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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 104909 TX Primary

Addresses

Primary practice location

417 E Tripp Rd
Sunnyvale, TX 75182-9544

Mailing address

417 E Tripp Rd Ste 222
Sunnyvale, TX 75182-9544
Phone (972) 226-5974

Other names 1

  • Susan Carol Fox Former name

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyvale Isd CurrentSince Jul 24, 2022 Accepting new patients
Sunnyvale Independent School District Current Accepting new patients
Hear in Dallas, Inc Speech-Language Pathologist PastSince Mar 1, 2014 Accepting new patients

Locations

417 E Tripp Rd
Sunnyvale, TX 75182
Phone (972) 226-5974

417 E Tripp Rd
Ste 222
Sunnyvale, TX 75182

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1033345152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E TRIPP RD STE 222",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829544",
            "telephone_number": "972-226-5974",
            "fax_number": "214-350-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E TRIPP RD",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829544",
            "telephone_number": "972-226-5974",
            "fax_number": "214-350-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTON",
        "first_name": "SUSAN",
        "middle_name": "FOX",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FOX",
            "middle_name": "CAROL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.