Heidi Peters, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12772 Issued in OR

Practice address

2140 Tompkins St
West Linn, OR 97068-2748

Phone

(503) 724-3129

NPI assigned

Sep 11, 2014

Last updated

Sep 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Heidi Namtvedt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1295136042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 TOMPKINS ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682748",
            "telephone_number": "503-724-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 TOMPKINS ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682748",
            "telephone_number": "503-724-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "HEIDI",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "269",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12772",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60125509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "NAMTVEDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela A Pavilonis, N.D.
• Matthew Pearce, OD, MPH
• Pediatric Dentistry of West Linn
• Jorge Luis Perez Jr
• Elizabeth M Perkins, PHARM. D.
• Jeanie Elizabeth Petersen
• Lael R Petersen, LCSW
• Rita Petersen
• Gerald Dudley Peterson, DPM
• Benjamin Pham, DMD

• Speech-Language Pathologist in West Linn, OR
• Providers in West Linn, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.