Individual provider Active NPI

Christina Jean Heiberger, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Aberdeen, SD
National Provider Identifier
1881036788
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12123521
Practice address
2905 3Rd Ave SE
Aberdeen, SD 57401-5420
Phone
(605) 626-4380
Fax
(605) 626-4391
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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 12123521 Primary

Addresses

Primary practice location

2905 3Rd Ave SE
Aberdeen, SD 57401-5420

Mailing address

905 17TH Ave SW
Aberdeen, SD 57401-5639
Phone (605) 626-1187

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1881036788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 17TH AVE SW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015639",
            "telephone_number": "605-626-1187",
            "fax_number": "605-626-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 3RD AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015420",
            "telephone_number": "605-626-4380",
            "fax_number": "605-626-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIBERGER",
        "first_name": "CHRISTINA",
        "middle_name": "JEAN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "12123521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.