Individual provider Active NPI

Heather Dara Williams, CCC-SLP

  • Speech-Language Pathologist
  • North Hollywood, CA
National Provider Identifier
1730497488
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP12042 Issued in CA
Practice address
6350 Laurel Canyon Blvd
Suite 257
North Hollywood, CA 91606-3200
Phone
(818) 509-9802
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP12042 CA Primary

Addresses

Primary practice location

6350 Laurel Canyon Blvd
Suite 257
North Hollywood, CA 91606-3200

Mailing address

6350 Laurel Canyon Blvd
Suite 257
North Hollywood, CA 91606-3200
Phone (818) 509-9802

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

LicenseStateTypeSpecialty
SLP12042CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Schutte Corp. Speech-Language Pathologist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1730497488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 LAUREL CANYON BLVD",
            "address_2": "SUITE 257",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063200",
            "telephone_number": "818-509-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 LAUREL CANYON BLVD",
            "address_2": "SUITE 257",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063200",
            "telephone_number": "818-509-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HEATHER",
        "middle_name": "DARA",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SLP12042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.