Individual provider Active NPI

Heidi Jean Dyreson, MA,CCC-SP

  • Speech-Language Pathologist
  • La Habra, CA
National Provider Identifier
1225946908
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12384 Issued in CA
Practice address
301 Las Lomas Dr
La Habra, CA 90631-7171
Phone
(562) 690-2386
NPI assigned
Sep 1, 2026
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 12384 CA Primary

Addresses

Primary practice location

301 Las Lomas Dr
La Habra, CA 90631-7171

Mailing address

241 El Rancho Dr
La Habra, CA 90631-4485
Phone (562) 690-2386

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": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1225946908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 EL RANCHO DR",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314485",
            "telephone_number": "562-690-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LAS LOMAS DR",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317171",
            "telephone_number": "562-690-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYRESON",
        "first_name": "HEIDI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.