Active NPI
Abby M Heidelberg
- Speech-Language Pathologist
- Cabot, AR
National Provider Identifier
1225740749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2800 S 2ND St Ste B
Cabot, AR 72023-7030 - Phone
- (501) 286-6175
- NPI assigned
- Dec 15, 2022
- Last updated
- Dec 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2800 S 2ND St Ste B
Cabot, AR 72023-7030
Mailing address
118 Panther TRL
Searcy, AR 72143-9207
Phone (501) 827-5779
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lrussellpt@milestonespediatrictherapyservices.com | Health Information Exchange (HIE) | Milestones Pediatric Therapy Services, LLC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1225740749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 PANTHER TRL",
"city": "SEARCY",
"state": "AR",
"postal_code": "721439207",
"telephone_number": "501-827-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S 2ND ST STE B",
"city": "CABOT",
"state": "AR",
"postal_code": "720237030",
"telephone_number": "501-286-6175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDELBERG",
"first_name": "ABBY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-15",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lrussellpt@milestonespediatrictherapyservices.com",
"affiliation": "Y",
"endpointDescription": "Encrypted email",
"affiliationName": "Milestones Pediatric Therapy Services, LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2800 S 2nd St Ste B",
"city": "Cabot",
"state": "AR",
"country_code": "US",
"postal_code": "720237030",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.