Ali Heitzman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16826 Issued in OR

Practice address

3613 NE 70TH Ave
Portland, OR 97213-5138

Phone

(503) 380-9328

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1659194017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 NE 70TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135138",
            "telephone_number": "503-380-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NE 70TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135138",
            "telephone_number": "503-380-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITZMAN",
        "first_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "33167",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "16826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Heisler, R.N.
• River J Heisler
• Stephen Barri Heitner, M.D
• Olivia Heitz
• Kathryn Macleod Heitzhausen, PSY.D.
• Kayla H Heitzman, LMT, CA
• Keri Ann Heitzman, LMT, CPT, NCBTMB
• Jane Heiy, PH.D.
• Gina Lamae Helbley, MA
• Jon Travis Held, OT

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.