Individual provider Active NPI

Heather Krysten Geraci, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Fort Myers, FL
National Provider Identifier
1891082541
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17997 Issued in FL
Practice address
1801 Brantley Rd Apt 2009
Fort Myers, FL 33907-1906
Phone
(239) 544-2289
NPI assigned
Jul 1, 2011
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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 SA17997 FL Primary

Addresses

Primary practice location

1801 Brantley Rd Apt 2009
Fort Myers, FL 33907-1906

Mailing address

1801 Brantley Rd Apt 2009
Fort Myers, FL 33907-1906
Phone (239) 544-2289

Other identifiers 1

IdentifierTypeStateIssuer
SA17997OtherFLSPEECH PATHOLOGY LICENSE

Other names 1

  • Heather Krysten Walsh Former name

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
021045-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1891082541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BRANTLEY RD APT 2009",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071906",
            "telephone_number": "239-544-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BRANTLEY RD APT 2009",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071906",
            "telephone_number": "239-544-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERACI",
        "first_name": "HEATHER",
        "middle_name": "KRYSTEN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGY LICENSE",
            "identifier": "SA17997",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WALSH",
            "middle_name": "KRYSTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.