Heather Dunklin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102618 Issued in TX

Practice address

251 Watermere Dr
Southlake, TX 76092-8129

Phone

(817) 348-9711

NPI assigned

Nov 25, 2009

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Cerda Pediatric & Neuro Physical Therapy PLLC

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1801664073

  Speech-Language Pathologist

  Medicare reassignment NPD
• Rehab Specialists Outpatient, LLC

  • Clinic/Center
  • Milwaukie, OR
  • NPI 1679240824

  Speech-Language Pathologist, TX

  Medicare reassignment NPD
• Rehab Specialists Outpatient, LLC

  • Clinic/Center
  • Canby, OR
  • NPI 1437019015

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1609104967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 TALONS CREST CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761797215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WATERMERE DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928129",
            "telephone_number": "817-348-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKLIN",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DSL Tenant II LLC
• Carl Edwin Ducharme, D.O.
• Tequell Duff
• Rochelle R Duke-Rutledge, LPC-A
• Nicole Lynn Dunagan, M.A., CCC-SLP
• Donald Dunlap Jr., D.O.
• Tajon Dunn
• Klyne Duplechian, BCBA
• Aaron James Dupre, MSN, PMHNP-BC
• Maria Duran

• Speech-Language Pathologist in Southlake, TX
• Providers in Southlake, 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 Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.