Active NPI
Heather Baron, MA CCC/SLP
- Speech-Language Pathologist
- Port Jefferson, NY
National Provider Identifier
1033446240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 010335-1
- Practice address
- 21 Sands LN
Port Jefferson, NY 11777-1112 - Phone
- (631) 926-9855
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 010335-1 | OK | Primary |
Addresses
Primary practice location
21 Sands LN
Port Jefferson, NY 11777-1112
Mailing address
21 Sands LN
Port Jefferson, NY 11777-1112
Phone (631) 926-9855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231H00000X | Other | NY | NYS LICENSE # 010335-1 |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010335-1 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1033446240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SANDS LN",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771112",
"telephone_number": "631-926-9855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SANDS LN",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771112",
"telephone_number": "631-926-9855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARON",
"first_name": "HEATHER",
"name_prefix": "Mrs.",
"credential": "MA CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "010335-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE # 010335-1",
"identifier": "231H00000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.