Active NPI
Kristina Marie Heinle, SLPD
- Speech-Language Pathologist
- Davenport, ND
National Provider Identifier
1386925485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1159
- Practice address
- 360 5TH St
Davenport, ND 58021 - Phone
- (701) 353-5438
- NPI assigned
- Sep 1, 2011
- Last updated
- Mar 17, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1159 | ND | Primary |
Addresses
Primary practice location
360 5TH St
Davenport, ND 58021
Mailing address
PO Box 222
Davenport, ND 58021
Phone (701) 793-9288
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1159 | ND | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1386925485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 222",
"city": "DAVENPORT",
"state": "ND",
"postal_code": "58021",
"telephone_number": "701-793-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 5TH ST",
"city": "DAVENPORT",
"state": "ND",
"postal_code": "58021",
"telephone_number": "701-353-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINLE",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "SLPD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "1159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.