Nicole Victoria Heintz, M.C.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146011867 Issued in IL

Practice address

1957 W Dickens Ave
Chicago, IL 60614-3934

Phone

(773) 789-9640

NPI assigned

Aug 21, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1417189556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 N RACINE AVE",
            "address_2": "2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134261",
            "telephone_number": "985-981-9801",
            "fax_number": "985-981-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 W DICKENS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143934",
            "telephone_number": "773-789-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINTZ",
        "first_name": "NICOLE",
        "middle_name": "VICTORIA",
        "credential": "M.C.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103393",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher K Heinrich, MD
• Jenna Heinrich, PT, DPT
• Scott Heinrich, M.D.
• Yvonne R Heins, PHD
• Sarah Heinss, LPC
• Stephen Heintz, LPC
• Erich Hugo Heintzen IV, LCSW
• Ashley Marie Heinz, FNP-C
• Bradley Heinz
• Marissa Lynn Heinz, PT

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.