Individual provider Active NPI

Heather Marie Hagestad, CCC-SLP, TSLD

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1174830186
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0188141 Issued in NY
Practice address
260 65TH St Apt 14F
Brooklyn, NY 11220-6512
Phone
(718) 753-6680
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 0188141 NY Primary

Addresses

Primary practice location

260 65TH St Apt 14F
Brooklyn, NY 11220-6512

Mailing address

260 65TH St Apt 14F
Brooklyn, NY 11220-6512

Other names 1

  • Mrs. Heather Marie Hagestad Other name

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

LicenseStateTypeSpecialty
0188141NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1174830186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 65TH ST APT 14F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 65TH ST APT 14F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206512",
            "telephone_number": "718-753-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGESTAD",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP, TSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0188141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HAGESTAD",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "CCC-SLP, TSLD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.