Lieren Hefner, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP12404 Issued in AZ

Practice address

1380 S Castle Dome Ave Ste 104
Yuma, AZ 85365-2024

Phone

(928) 259-7758

Fax

(928) 259-7808

NPI assigned

Aug 19, 2021

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Institute of Manual Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Yuma, AZ
  • NPI 1821538612
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1578239588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 S CASTLE DOME AVE STE 104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652024",
            "telephone_number": "928-259-7758",
            "fax_number": "928-259-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 S CASTLE DOME AVE STE 104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652024",
            "telephone_number": "928-259-7758",
            "fax_number": "928-259-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFNER",
        "first_name": "LIEREN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP12404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart and Vascular Lab of Yuma, PLLC
• Heart of Yuma
• Marilyn Marie Heaton
• Elisa Hedrick, APRN
• William Tyler Heffington, RN
• Peggy Ann Heithaus, D.C.
• Josiah Eldred Hella
• Matthew Heller
• Helping Ourselves Pursue Enrichment, Inc
• Helping Ourselves Pursue Enrichment, Inc.

• Speech-Language Pathologist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.