Heather Nicole Chandler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ12030 Issued in FL

Practice address

805 Pine Island Rd
St Augustine, FL 32095-8557

Phone

(904) 547-4300

NPI assigned

Sep 14, 2020

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

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.

• South Walton Academy, Inc.

  • Clinic/Center
  • Santa Rosa Beach, FL
  • NPI 1568964278

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1750996807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 BLUEJACK LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320959032",
            "telephone_number": "615-838-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PINE ISLAND RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958557",
            "telephone_number": "904-547-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Relational Psychotherapy
• Certified Medical Systems III Inc
• Cindy O Chaconas, DPT, ATC
• Eric James Chaconas, DPT
• Brett Chandler, PT,DPT
• Jessica Lynn Chandler
• Lauren Chane, LCSW
• Changing Tides Chiropractic & Wellness, LLC.
• Changing Tides Chiropractic and Wellness LLC
• Sydney Ray Channon

• Speech-Language Pathologist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.