Heather Keene, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004934 Issued in VA

Practice address

33 Clements CT
Stuarts Draft, VA 24477-2905

Phone

(850) 748-8404

NPI assigned

Dec 3, 2014

Last updated

Jun 2, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

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  • NPI 1942749569
  NPD Authorized official

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1346647567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CLEMENTS CT",
            "city": "STUARTS DRAFT",
            "state": "VA",
            "postal_code": "244772905",
            "telephone_number": "850-748-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLEMENTS CT",
            "city": "STUARTS DRAFT",
            "state": "VA",
            "postal_code": "244772905",
            "telephone_number": "850-748-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "HEATHER",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome J Hotchkiss Jr., MD
• David Hulnik, PHARM. D.
• James F Hutchens, DDS
• James W Willis IV DDS PLC (Willis & Associates: Family Dentistry)
• Kenny Ayo-Deji Johnson, PHARMD
• Savanna Kelley, LPC
• Jihoon Kim, DDS
• Toni F Kistner
• Amanda C Kizer, LPC
• Suzanne E Klein, MS, CRC, RIC

• Speech-Language Pathologist in Stuarts Draft, VA
• Providers in Stuarts Draft, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.