Active NPI
Jennifer Heim
- Speech-Language Pathologist
- Port Saint Lucie, FL
National Provider Identifier
1669801627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA6779
- Practice address
- 2449 SE Stonecrop St
Port Saint Lucie, FL 34984-5280 - Phone
- (954) 610-0889
- NPI assigned
- Nov 10, 2013
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA6779 | FL | Primary |
Addresses
Primary practice location
2449 SE Stonecrop St
Port Saint Lucie, FL 34984-5280
Mailing address
2449 SE Stonecrop St
Port Saint Lucie, FL 34984-5280
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 |
|---|---|---|---|
| SA6779 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384041600000",
"number": "1669801627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 SE STONECROP ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349845280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 SE STONECROP ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349845280",
"telephone_number": "954-610-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIM",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-10",
"last_updated": "2013-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA6779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
- Health & Wellness Center of Port St. Lucie
- Health Boost Solutions
- Healthy Smiles Dental of Port Saint Lucie FL PLLC
- Shawn Hearing, LMT
- Heavenly Hands Companion Services LLC
- Helpcare Private Duty Services LLC
- Carlos Eduardo Henao Castro, MD
- Hailey Henderson
- Reginald Henderson Sr.
- Britney Sharonda Henley-Philemond
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.