Active NPI
Nicole Heser
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1427465251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-LTD-LIC-109
- Practice address
- 7540 N 19TH Ave Ste 200
Phoenix, AZ 85021-7967 - Phone
- (888) 873-4221
- NPI assigned
- Jul 14, 2014
- 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 | SLP-LTD-LIC-109 | MT | Primary |
Addresses
Primary practice location
7540 N 19TH Ave Ste 200
Phoenix, AZ 85021-7967
Mailing address
7540 N 19TH Ave Ste 200
Phoenix, AZ 85021-7967
Phone (888) 873-4221
Other practice location 1
1015 S Broadway
Suite 18
Minot, ND 58701-4667
Phone (701) 857-8500 ext. 8650
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 |
|---|---|---|---|
| SLP-LTD-LIC-109 | MT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Billings, MT
- NPI 1508289703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1427465251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7540 N 19TH AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850217967",
"telephone_number": "888-873-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7540 N 19TH AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850217967",
"telephone_number": "888-873-4221"
}
],
"practiceLocations": [
{
"address_1": "1015 S Broadway",
"address_2": "Suite 18",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587014667",
"country_code": "US",
"telephone_number": "701-857-8500 x8650",
"fax_number": "701-857-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HESER",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SLP-LTD-LIC-109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.