Individual provider Active NPI

Melanie Heist, MA,CCC-SLP

  • Speech-Language Pathologist
  • Canton, OH
National Provider Identifier
1790109973
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.5476 Issued in OH
Practice address
2823 9TH St SW
Canton, OH 44710-1917
Phone
(330) 580-3502
Fax
(330) 580-3165
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.5476 OH Primary

Addresses

Primary practice location

2823 9TH St SW
Canton, OH 44710-1917

Mailing address

2823 9TH St SW
Canton, OH 44710-1917
Phone (330) 580-3502

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 Arts

State licenses

LicenseStateTypeSpecialty
SP.5476OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1790109973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 9TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101917",
            "telephone_number": "330-580-3502",
            "fax_number": "330-580-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 9TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101917",
            "telephone_number": "330-580-3502",
            "fax_number": "330-580-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIST",
        "first_name": "MELANIE",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.5476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.