Individual provider Active NPI

Heather N Zortman, SLP-CCC

  • Speech-Language Pathologist
  • Vancouver, WA
National Provider Identifier
1811225733
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL60457095 Issued in WA
Practice address
7409 NE Hazel Dell Ave
Ste 112
Vancouver, WA 98665-8310
Phone
(360) 597-4048
Fax
(360) 597-4572
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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 LL60457095 WA Primary

Addresses

Primary practice location

7409 NE Hazel Dell Ave
Ste 112
Vancouver, WA 98665-8310

Mailing address

7409 NE Hazel Dell Ave
Vancouver, WA 98665-8310
Phone (360) 597-4048

Other identifiers 1

IdentifierTypeStateIssuer
LL60457095OtherWAWA STATE DEPT OF HEALTH

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

LicenseStateTypeSpecialty
LL60457095WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Pediatric Therapy Associates PLLC PastSince Jun 12, 2022 Accepting new patients
Speech and Occupational Specialists, LLC Speech-Language Pathologist Past Accepting new patients

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": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1811225733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 NE HAZEL DELL AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658310",
            "telephone_number": "360-597-4048",
            "fax_number": "360-597-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 NE HAZEL DELL AVE",
            "address_2": "STE 112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658310",
            "telephone_number": "360-597-4048",
            "fax_number": "360-597-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORTMAN",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60457095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPT OF HEALTH",
            "identifier": "LL60457095",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.