Active NPI
Ashley Mercedes Heidtmann, M.S. CCC-SLP
- Speech-Language Pathologist
- Zion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242.006368
- Practice address
- 2520 Elisha Ave
Zion, IL 60099-2676 - Phone
- (847) 872-6050
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5772 | OK | |
| Speech-Language Pathologist | 235Z00000X | 242.006368 | IL | Primary |
| Speech-Language Pathologist | 235Z00000X | 22008086A | IN | |
| Speech-Language Pathologist | 235Z00000X | 7101007912 | MI | |
| Speech-Language Pathologist | 235Z00000X | 113958 | IA |
Addresses
Primary practice location
2520 Elisha Ave
Zion, IL 60099-2676
Mailing address
3515 W Medill Ave Apt 2W
Chicago, IL 60647-6168
Phone (203) 988-7336
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CTCAMRMC@CTCA.ALLSCRIPTSDIRECT.NET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113958 | IA | MD | Speech-Language Pathologist |
| 242.006368 | IL | MD | Speech-Language Pathologist |
| 22008086A | IN | MD | Speech-Language Pathologist |
| 7101007912 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
Interoperability endpoints
- ctcamrmc@ctca.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Clinic/Center
- Chicago, IL
- NPI 1356891618
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1386311165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 W MEDILL AVE APT 2W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606476168",
"telephone_number": "203-988-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 ELISHA AVE",
"city": "ZION",
"state": "IL",
"postal_code": "600992676",
"telephone_number": "847-872-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDTMANN",
"first_name": "ASHLEY",
"middle_name": "MERCEDES",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "5772",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242.006368",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22008086A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101007912",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "113958",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CTCAMRMC@CTCA.ALLSCRIPTSDIRECT.NET",
"affiliation": "N",
"address_1": "2520 Elisha Ave",
"city": "Zion",
"state": "IL",
"country_code": "US",
"postal_code": "600992676",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Zion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.