Active NPI
Heather Ismay, M.S., CCC-SLP
- Speech-Language Pathologist
- Richmond Hill, GA
National Provider Identifier
1750893947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP011132
- Practice address
- 238 Bald Eagle Dr
Richmond Hill, GA 31324-3417 - Phone
- (850) 206-3740
- NPI assigned
- Oct 29, 2017
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 27521 | CA | |
| Speech-Language Pathologist | 235Z00000X | 13838336-4102 | UT | |
| Speech-Language Pathologist | 235Z00000X | SA22645 | FL | |
| Speech-Language Pathologist | 235Z00000X | 18260 | OR | |
| Speech-Language Pathologist | 235Z00000X | SLP011132 | GA | Primary |
Addresses
Primary practice location
238 Bald Eagle Dr
Richmond Hill, GA 31324-3417
Mailing address
3801 US Hwy 17
Ste 500 PMB 1041
Richmond Hill,, GA 31324
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18260 | OR | MD | Specialist |
| 27521 | CA | MD | Speech-Language Pathologist |
| SA22645 | FL | MD | Speech-Language Pathologist |
| SLP011132 | GA | MD | Speech-Language Pathologist |
| 13838336-4102 | UT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utter Success LLC | Speech-Language Pathologist | Current | Accepting new patients |
| JLD Therapy, PC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
3801 US Highway 17
Ste 500
Richmond Hill, GA 31324
Phone (404) 464-6700
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Richmond Hill, GA
- NPI 1427877026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1750893947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 US HWY 17",
"address_2": "STE 500 PMB 1041",
"city": "RICHMOND HILL,",
"state": "GA",
"postal_code": "31324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 BALD EAGLE DR",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243417",
"telephone_number": "850-206-3740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAY",
"first_name": "HEATHER",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-29",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "27521",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "13838336-4102",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA22645",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "18260",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.