Individual provider Active NPI

Heather Noel Segersten, CCC-SLP

  • Speech-Language Pathologist
  • Arlington, VA
National Provider Identifier
1356674832
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202004979 Issued in VA
Practice address
939 S Wakefield St
Suite 101
Arlington, VA 22204-3084
Phone
(703) 685-1070
Fax
(703) 685-0151
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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 2202004979 VA Primary

Addresses

Primary practice location

939 S Wakefield St
Suite 101
Arlington, VA 22204-3084

Mailing address

939 S Wakefield St
Suite 101
Arlington, VA 22204-3084
Phone (703) 685-1070

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

State licenses

LicenseStateTypeSpecialty
2202004979VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1356674832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 S WAKEFIELD ST",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043084",
            "telephone_number": "703-685-1070",
            "fax_number": "703-685-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 S WAKEFIELD ST",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043084",
            "telephone_number": "703-685-1070",
            "fax_number": "703-685-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGERSTEN",
        "first_name": "HEATHER",
        "middle_name": "NOEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.