Active NPI
Cille Wilds Heehs, MA CCC-SLP
- Speech-Language Pathologist
- Memphis, TN
National Provider Identifier
1033708664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1857
- Practice address
- 4055 N Park Loop
Memphis, TN 38152-6008 - Phone
- (901) 678-2009
- Fax
- (901) 678-5497
- NPI assigned
- Jan 18, 2021
- 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 | 1857 | TN | Primary |
Addresses
Primary practice location
4055 N Park Loop
Memphis, TN 38152-6008
Mailing address
850 Poplar Ave BLDG 2
Memphis, TN 38105-4607
Phone (901) 287-7337
Other practice location 1
348 Central Cv
Memphis, TN 38111-6008
Phone (901) 827-8347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q067921 | Medicaid | TN |
Other names 1
- Mary Cille Heehs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1857 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Memphis | Current | Accepting new patients | |
| The University of Memphis | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4055 N Park Loop
Memphis, TN 38152
Phone (901) 678-2003
4055 N Park Loop
Ste 1004
Memphis, TN 38152
Phone (901) 678-2009
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Memphis, TN
- NPI 1609961655
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
- Nurse Practitioner
- Memphis, TN
- NPI 1891515995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1033708664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 POPLAR AVE BLDG 2",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381054607",
"telephone_number": "901-287-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 N PARK LOOP",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381526008",
"telephone_number": "901-678-2009",
"fax_number": "901-678-5497"
}
],
"practiceLocations": [
{
"address_1": "348 Central Cv",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381116008",
"country_code": "US",
"telephone_number": "901-827-8347",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEEHS",
"first_name": "CILLE",
"middle_name": "WILDS",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "1857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q067921",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "HEEHS",
"middle_name": "CILLE",
"credential": "SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.