Regina Lazinka, M.S. SLP

Individual provider Active NPI Speech-Language Pathologist · Heppner, OR

NPI 1629445010 · NPPES record last updated Nov 5, 2024

Key facts

NPI
1629445010
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
015516 (OR)
Practice address
695 Alfalfa Street
Heppner, OR 97836
Phone
(541) 676-1123
Fax
(541) 676-1122
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Memorial Physical Therapy (2 clinicians)

Practice addresses (Care Compare)

695 S Alfalfa St
Heppner, OR 97836-6300
Phone (541) 676-2945

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181213000052 OR Practitioner - Qualified Speech Language Pathologist 8022353457 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
015516ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Memorial Physical Therapy Current
since Oct 1, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 015516 OR Yes

Addresses

Primary practice location

695 Alfalfa Street
Heppner, OR 97836

Mailing address

PO Box 90
Sunnyside, WA 98944-0090

Other names

  • Regina Seitz Former name

Other providers in Heppner, OR

All providers in Heppner, OR · Speech-Language Pathologist in Oregon

Sources for this page

Verify at the official NPI Registry.