Individual provider Active NPI

Ashley Heath, M.S., SLP

  • Speech-Language Pathologist
  • Canby, OR
National Provider Identifier
1114651700
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17512 Issued in OR
Practice address
366 N Holly St
Canby, OR 97013-3739
Phone
(503) 266-1030
NPI assigned
Jul 11, 2022
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 17512 OR Primary

Addresses

Primary practice location

366 N Holly St
Canby, OR 97013-3739

Mailing address

4603 SE 48TH Ave
Portland, OR 97206-4145
Phone (805) 363-6212

Other practice location 1

6516 NE Siskiyou St
Portland, OR 97213-4572
Phone (503) 266-1030

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
17512ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbreak Therapy Services, Inc Speech-Language Pathologist CurrentSince Jul 17, 2022 Accepting new patients

Locations

366 N Holly St
Canby, OR 97013
Phone (503) 266-1030

6516 NE Siskiyou St
Portland, OR 97213
Phone (503) 266-1030

Organizations & group practices 1

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1114651700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 SE 48TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064145",
            "telephone_number": "805-363-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N HOLLY ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133739",
            "telephone_number": "503-266-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6516 NE Siskiyou St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972134572",
            "country_code": "US",
            "telephone_number": "503-266-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATH",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "M.S., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.