Active NPI
Kayla Marlise Heins
- Speech-Language Pathologist
- Portland, ME
National Provider Identifier
1780170431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2797
- Practice address
- 335 Brighton Ave
Portland, ME 04102-2363 - Phone
- (207) 775-4000
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP2797 | ME | Primary |
Addresses
Primary practice location
335 Brighton Ave
Portland, ME 04102-2363
Mailing address
14 Marshall St Apt B
Portland, ME 04102-3202
Phone (845) 707-1894
Other practice location 1
123 Medical Center Dr
Brunswick, ME 04011-2652
Phone (207) 373-6033
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP2797 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1780170431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MARSHALL ST APT B",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023202",
"telephone_number": "845-707-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 BRIGHTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022363",
"telephone_number": "207-775-4000"
}
],
"practiceLocations": [
{
"address_1": "123 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "ME",
"postal_code": "040112652",
"country_code": "US",
"telephone_number": "207-373-6033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEINS",
"first_name": "KAYLA",
"middle_name": "MARLISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP2797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.