Active NPI
Jacob Jeffrey Heinz, SLPA
- Speech-Language Assistant
- Tucson, AZ
National Provider Identifier
1497290217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA10419
- Practice address
- 5441 N Swan Rd
Apt. # 1018
Tucson, AZ 85718-5434 - Phone
- (928) 550-3068
- NPI assigned
- Jan 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | SLPA10419 | AZ | Primary |
Addresses
Primary practice location
5441 N Swan Rd
Apt. # 1018
Tucson, AZ 85718-5434
Mailing address
5441 N Swan Rd
Apt. # 1018
Tucson, AZ 85718-5434
Phone (928) 550-3068
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 |
|---|---|---|---|
| SLPA10419 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1497290217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5441 N SWAN RD",
"address_2": "APT. # 1018",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185434",
"telephone_number": "928-550-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5441 N SWAN RD",
"address_2": "APT. # 1018",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185434",
"telephone_number": "928-550-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZ",
"first_name": "JACOB",
"middle_name": "JEFFREY",
"credential": "SLPA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-03",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA10419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.