Heather Rachelle Jestis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100251 Issued in TX

Practice address

10705 S State Highway 34
Scurry, TX 75158-3163

Phone

(972) 452-8823

Fax

(972) 452-3939

NPI assigned

Mar 7, 2022

Last updated

Mar 7, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scurry-Rosser Independent School District

  • Local Education Agency (LEA)
  • Scurry, TX
  • NPI 1073878633
  NPD (past)

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1508513888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 S STATE HIGHWAY 34",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751583163",
            "telephone_number": "972-452-8823",
            "fax_number": "972-452-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 S STATE HIGHWAY 34",
            "city": "SCURRY",
            "state": "TX",
            "postal_code": "751583163",
            "telephone_number": "972-452-8823",
            "fax_number": "972-452-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9511 Silver Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Scurry",
            "state": "TX",
            "postal_code": "751582801",
            "country_code": "US",
            "telephone_number": "972-452-8823 x1031",
            "fax_number": "972-452-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8321 S State Highway 34",
            "address_purpose": "LOCATION",
            "city": "Scurry",
            "state": "TX",
            "postal_code": "751582137",
            "country_code": "US",
            "telephone_number": "972-452-8823 x1031",
            "fax_number": "972-452-3939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10729 S State Highway 34",
            "address_purpose": "LOCATION",
            "city": "Scurry",
            "state": "TX",
            "postal_code": "751583163",
            "country_code": "US",
            "telephone_number": "972-452-8823 x1031",
            "fax_number": "972-452-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESTIS",
        "first_name": "HEATHER",
        "middle_name": "RACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Scurry, TX
• Providers in Scurry, TX by specialty
• Speech-Language Pathologist in Texas

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