Heather J Andersen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018858-1 Issued in NY

Practice address

15 Fulton Ave
Mastic, NY 11950-2707

Phone

(631) 804-1374

NPI assigned

Feb 22, 2010

Last updated

Feb 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1427370147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FULTON AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502707",
            "telephone_number": "631-804-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FULTON AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502707",
            "telephone_number": "631-804-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "HEATHER",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018858-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Ally
• Victoria A Almonte, R.N.
• Brittany Kayla Alvarez, RN
• Frank J Amato, LPN
• Krystle Michele' Amendola, LMSW, CASAC
• Jennifer A. Arma
• Ashley Arnold
• Michael Dean Ash Sr., LCSWR
• Tara Astromovich, LPN
• Zaheer Ud Din Babar

• Speech-Language Pathologist in Mastic, NY
• Providers in Mastic, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.