Active NPI
Heather Yanni Robertson, M.A., CCC-SLP
- Speech-Language Pathologist
- Virginia Beach, VA
National Provider Identifier
1124411145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202006715
- Practice address
- 3961 Salem Lakes Blvd
Virginia Beach, VA 23456-4926 - Phone
- (757) 648-3680
- NPI assigned
- Mar 16, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202006715 | VA | Primary |
| Speech-Language Pathologist | 235Z00000X | 18204 | CA |
Addresses
Primary practice location
3961 Salem Lakes Blvd
Virginia Beach, VA 23456-4926
Mailing address
3961 Salem Lakes Blvd
Virginia Beach, VA 23456-4926
Phone (757) 648-3680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202006715 | Other | VA | DEPARTMENT OF HEATH PROFESSIONS |
| 18204 | Other | CA | SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY AND HEARING AID DISPENSERS BOARD |
Other names 1
- Miss Heather Elizabeth Yanni
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 |
|---|---|---|---|
| 18204 | CA | MD | Speech-Language Pathologist |
| 2202006715 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1124411145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3961 SALEM LAKES BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234564926",
"telephone_number": "757-648-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3961 SALEM LAKES BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234564926",
"telephone_number": "757-648-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "HEATHER",
"middle_name": "YANNI",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202006715",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "18204",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEATH PROFESSIONS",
"identifier": "2202006715",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY AND HEARING AID DISPENSERS BOARD",
"identifier": "18204",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "YANNI",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"credential": "M.A.,CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.