Heather Henderson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4625 Issued in OK

Practice address

510 S Cherokee Ave
Bartlesville, OK 74003-3625

Phone

(918) 766-9460

NPI assigned

Jan 28, 2020

Last updated

Apr 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rise Therapy, LLC

  • Speech-Language Pathologist
  • Bartlesville, OK
  • NPI 1043956246
  NPD

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1740811819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 S JOHNSTONE AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740035721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S CHEROKEE AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033625",
            "telephone_number": "918-766-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "HEATHER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Larae Hedman, APRN
• Alexander Trent Heidorn
• Carlyn Johnson Heinrichs, M.S, CCC-SLP
• Camber Nicole Helvy
• Dana Hemminger, BS
• Lisa A Henderson
• McKenzie Henderson
• Tonya Nicole Henderson, APRN
• Deborah Sue Hendricks, ARNP
• Marianne Hendricks, LPC, LBP

• Speech-Language Pathologist in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.