Michele Lee Heinz, MS SLP CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-005422 Issued in IL

Practice address

508 N Main St
Washington, IL 61571-1525

Phone

(800) 773-1682

Fax

(800) 773-1682

NPI assigned

Jun 2, 2010

Last updated

Jun 2, 2010By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1457671471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 SUNBURST LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712388",
            "telephone_number": "309-444-4906",
            "fax_number": "800-773-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N MAIN ST",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711525",
            "telephone_number": "800-773-1682",
            "fax_number": "800-773-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS SLP CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-005422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "09117725",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINIOS DEPARTMENT OF PROFESSIONAL REGULATIONS LICENSE NUMBER",
            "identifier": "146-005422",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Haerr, COTA/L
• Laura Hagan, PT
• Mark D Hahn, O.D.
• David Hall
• Jonathan Hamm, PT
• James F. Hensold, M.D.
• Michael John Herman, DDS
• Stacey Herring
• Elizabeth Marie Heuermann, M.S.
• Highland Park CVS, L.L.C. (CVS Pharmacy 06448)

• Speech-Language Pathologist in Washington, IL
• Providers in Washington, 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 Jun 2, 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.