Individual provider Active NPI

Heather Ismay, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Richmond Hill, GA
National Provider Identifier
1750893947
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP011132 Issued in GA
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

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
18260ORMDSpecialist
27521CAMDSpeech-Language Pathologist
SA22645FLMDSpeech-Language Pathologist
SLP011132GAMDSpeech-Language Pathologist
13838336-4102UTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Utter Success LLC Speech-Language Pathologist CurrentSince Oct 13, 2024 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.

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.

Verify at the official NPI Registry.