Individual provider Active NPI

Jaimie Heiman, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Palo Alto, CA
National Provider Identifier
1144635889
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
20822 Issued in CA
Practice address
525 E Charleston Rd
Palo Alto, CA 94306-4247
Phone
(650) 494-0550
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 20822 CA Primary

Addresses

Primary practice location

525 E Charleston Rd
Palo Alto, CA 94306-4247

Mailing address

1479 Saratoga Ave
San Jose, CA 95129-4934
Phone (877) 991-0009

Other practice location 1

1479 Saratoga Ave
San Jose, CA 95129-4934
Phone (877) 991-0009 ext. 15

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
20822CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilities United Speech-Language Pathologist Past Accepting new patients
A Is for Apple Past Accepting new patients

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": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144635889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294934",
            "telephone_number": "877-991-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E CHARLESTON RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064247",
            "telephone_number": "650-494-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1479 Saratoga Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951294934",
            "country_code": "US",
            "telephone_number": "877-991-0009 x15",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIMAN",
        "first_name": "JAIMIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "20822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.