Heather Denise Sullivan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

343 Issued in AK

Practice address

1327 Kalakaket St
Fairbanks, AK 99709-4917

Phone

(907) 452-4517

Fax

(907) 452-4263

NPI assigned

Aug 4, 2011

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Talkabout Inc

  • Speech-Language Pathologist
  • Faribanks, AK
  • NPI 1679797450
  NPD (past)

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1598044810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 KALAKAKET ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094917",
            "telephone_number": "907-452-4517",
            "fax_number": "907-452-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 KALAKAKET ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094917",
            "telephone_number": "907-452-4517",
            "fax_number": "907-452-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HEATHER",
        "middle_name": "DENISE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1574759",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Jeanne Struthers, RD
• Cassidee Rhea Stumbo, PT, DPT
• Savannah Sturgis
• Kristen M Sublett, CNM
• David Lee Sulkosky, DDS
• Maureen Sullivan, CNM, WHNP
• Hannah Summerfelt, DMD
• Alaina Summers, RN
• Clinton Connelley Summers
• Linda C Summers, FNP, CNS

• Speech-Language Pathologist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.