Kellie Marie Heitzkey, MS-CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2422-154 Issued in WI

Practice address

3431 N 13TH St
Sheboygan, WI 53083-2938

Phone

(920) 457-5046

Fax

(920) 457-4753

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326252370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N70W5474 BRIDGE RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122110",
            "telephone_number": "262-618-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 N 13TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832938",
            "telephone_number": "920-457-5046",
            "fax_number": "920-457-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITZKEY",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS-CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2422-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42560800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan A Hein, MED APSW CADC III
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• Heinen Chiropractic, SC
• Kenneth S Heinen, DC
• Craig L Heins, M.D.
• Elizabeth Louise Heitzmann, MAC, LPC
• Christie Anne Helgemo, MS OTR
• Ashley Marie Heling, RDH
• Jennifer Lee Heling, PTA
• Jean Heller

• Speech-Language Pathologist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.