Organization Active NPI

Eisenman Speech Therapy, LLC

  • Speech-Language Pathologist
  • Fairbanks, AK
National Provider Identifier
1790473700
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EISENMAN SPEECH THERAPY, LLC
Practice address
1305 21St Ave Ste 204
Fairbanks, AK 99701-6084
Phone
(907) 621-7060
Fax
(907) 621-7062
NPI assigned
Apr 27, 2023
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Ms. Heather E Eisenman, CCC-SLPNPI 1013358969
Title
Speech-Language Pathologist/Owner
Phone
(707) 364-2013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1305 21St Ave Ste 204
Fairbanks, AK 99701-6084

Mailing address

1305 21St Ave Ste 204
Fairbanks, AK 99701-6084
Phone (907) 621-7060

National Provider Directory

National Provider Directory

Locations

1305 21st Ave
Ste 204
Fairbanks, AK 99701
Phone (907) 388-9270

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1790473700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 21ST AVE STE 204",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016084",
            "telephone_number": "907-621-7060",
            "fax_number": "907-621-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 21ST AVE STE 204",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016084",
            "telephone_number": "907-621-7060",
            "fax_number": "907-621-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISENMAN SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "EISENMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "707-364-2013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.