Active NPI
Lauren Larter Heiman, O.T.
- Pediatric Occupational Therapist
- Daphne, AL
National Provider Identifier
1609007400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3055
- Practice address
- 25833 Highway 181
Daphne, AL 36526-6101 - Phone
- (251) 689-8153
- NPI assigned
- Jul 28, 2009
- Last updated
- Jul 28, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 3055 | AL | Primary |
Addresses
Primary practice location
25833 Highway 181
Daphne, AL 36526-6101
Mailing address
601 Ridgewood Dr
Daphne, AL 36526-7701
Phone (225) 953-4494
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 |
|---|---|---|---|
| 3055 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1609007400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 RIDGEWOOD DR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267701",
"telephone_number": "225-953-4494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25833 HIGHWAY 181",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365266101",
"telephone_number": "251-689-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMAN",
"first_name": "LAUREN",
"middle_name": "LARTER",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AL",
"license": "3055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.