Heritage Community Charter School

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

HERITAGE COMMUNITY CHARTER SCHOOL

Practice address

1803 E Ustick Rd
Caldwell, ID 83605-6607

Phone

(208) 453-8070

NPI assigned

Jun 1, 2015

Last updated

Oct 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek B Lindquist

Title

Vice Principal

Phone

(208) 453-8070

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1881074235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 E USTICK RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056607",
            "telephone_number": "208-453-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 E USTICK RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056607",
            "telephone_number": "208-453-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE COMMUNITY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "LINDQUIST",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRINCIPAL",
        "authorized_official_telephone_number": "208-453-8070"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.