Individual provider Active NPI

Heidi Downes Anderson, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Sykesville, MD
National Provider Identifier
1083813489
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004334 Issued in MD
Practice address
5408 Fantail Dr
Sykesville, MD 21784-8934
Phone
(410) 552-3938
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 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 004334 MD Primary

Addresses

Primary practice location

5408 Fantail Dr
Sykesville, MD 21784-8934

Mailing address

5408 Fantail Dr
Sykesville, MD 21784-8934
Phone (410) 552-3938

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 Science

State licenses

LicenseStateTypeSpecialty
004334MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aces Speech Therapy LLC Speech-Language Pathologist CurrentSince Jun 25, 2023 Accepting new patients
Aces Speech Therapy LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

1912 Liberty Rd
Spc 24
Eldersburg, MD 21784
Phone (410) 790-3526

Organizations & group practices 2

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1083813489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 FANTAIL DR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217848934",
            "telephone_number": "410-552-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 FANTAIL DR",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217848934",
            "telephone_number": "410-552-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HEIDI",
        "middle_name": "DOWNES",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "004334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.