Individual provider Active NPI

Heather Marie Hayworth, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Danville, IL
National Provider Identifier
1093001711
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146010737 Issued in IL
Practice address
15009 Catlin Tilton Rd
Danville, IL 61834
Phone
(217) 443-8273
Fax
(217) 443-0217
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 146010737 IL Primary

Addresses

Primary practice location

15009 Catlin Tilton Rd
Danville, IL 61834

Mailing address

15009 Catlin-Tilton Rd.
Danville, IL 61834
Phone (217) 443-8273

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

LicenseStateTypeSpecialty
146010737ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1093001711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15009 CATLIN-TILTON RD.",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61834",
            "telephone_number": "217-443-8273",
            "fax_number": "217-443-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15009 CATLIN TILTON RD",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61834",
            "telephone_number": "217-443-8273",
            "fax_number": "217-443-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWORTH",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146010737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.