Active NPI
Heather Ann Andrade
- Speech-Language Assistant
- Pacoima, CA
National Provider Identifier
1124540299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 4389
- Practice address
- 13066 Van Nuys Blvd
Pacoima, CA 91331-2576 - Phone
- (818) 206-8217
- NPI assigned
- Jul 11, 2017
- 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 Assistant | 2355S0801X | 4389 | CA | Primary |
Addresses
Primary practice location
13066 Van Nuys Blvd
Pacoima, CA 91331-2576
Mailing address
17216 Saticoy St Ste 141
Van Nuys, CA 91406-2103
Phone (818) 206-8217
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4389 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1124540299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17216 SATICOY ST STE 141",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914062103",
"telephone_number": "818-206-8217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13066 VAN NUYS BLVD",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913312576",
"telephone_number": "818-206-8217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "HEATHER",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "4389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacoima, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.