Individual provider Active NPI

Heather Heintz Fernandez, MS,CCC-SLP

  • Speech-Language Pathologist
  • Crystal River, FL
National Provider Identifier
1346391661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA4388 Issued in FL
Practice address
255 SE 7TH Ave
Crystal River, FL 34429-4891
Phone
(352) 795-4114
NPI assigned
Jan 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SA4388 FL Primary

Addresses

Primary practice location

255 SE 7TH Ave
Crystal River, FL 34429-4891

Mailing address

2830 S Circle PT
Inverness, FL 34450-6981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818001469 FL Practitioner - Qualified Speech Language Pathologist 1355703562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of Florida College of Medicine, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

255 SE 7TH Ave
Suite 2
Crystal River, FL 34429-4848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Clinic for Rehabilitation Speech-Language Pathologist CurrentSince May 9, 2023 Accepting new patients

Locations

255 SE 7th Ave
Crystal River, FL 34429
Phone (352) 563-5055

255 SE 7th Ave
Ste 2
Crystal River, FL 34429
Phone (352) 795-4114

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346391661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 S CIRCLE PT",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344506981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SE 7TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294891",
            "telephone_number": "352-795-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "HEATHER",
        "middle_name": "HEINTZ",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA4388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.