Shana Leslie Hegland, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1547 Issued in ND

Practice address

4152 30TH Ave S Ste 102
Fargo, ND 58104-8403

Phone

(701) 364-2663

Fax

(701) 364-2660

NPI assigned

Jul 7, 2022

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 Science

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1417680372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 30TH AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048403",
            "telephone_number": "701-364-2663",
            "fax_number": "701-364-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 30TH AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048403",
            "telephone_number": "701-364-2663",
            "fax_number": "701-364-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGLAND",
        "first_name": "SHANA",
        "middle_name": "LESLIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Heck, BCBA, LBA
• Amy N Hecker, PA-C
• Kyle C Hedin, MSW
• Katie R Hegarty
• David Nelson Hegge Jr., DDS
• Shannon Joy Heick, LCSW
• Eric Heiden
• Josi Heidlebaugh
• Kathryn J Heim, LPCC
• Halli Heimbuch, MS, RDN, LRD

• Occupational Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.