Christopher Heistand SLP, Inc. PS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00003377 Issued in WA

Legal business name

CHRISTOPHER HEISTAND SLP, INC. PS

Practice address

4531 Intelco Loop SE
Suite 3
Lacey, WA 98503-5941

Phone

(360) 786-1753

Fax

(360) 786-1793

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Christopher P Heistand, SLP

Title

Owner

Phone

(360) 786-1753

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bridget Greiff, OTR/L

  • Pediatric Occupational Therapist
  • Olympia, WA
  • NPI 1710122494
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1891965513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 YELM HWY SE STE B",
            "address_2": "PMB 210",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034904",
            "telephone_number": "360-786-1753",
            "fax_number": "360-786-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 INTELCO LOOP SE",
            "address_2": "SUITE 3",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035941",
            "telephone_number": "360-786-1753",
            "fax_number": "360-786-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER HEISTAND SLP, INC. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "HEISTAND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-786-1753",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00003377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7125396",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia Christensen, PHYSICIAN ASSISTANT
• Katie Christensen
• Marguerite Glory Anna Christenson, CDP
• Delta Elizabeth O'Dell Christiansen, LMP
• William Alan Christie
• Aimee Cidzik
• Circle in a Square Counseling, LLC
• Jim Clark
• Julianne Clark
• Lindsey Clark

• Speech-Language Pathologist in Lacey, WA
• Providers in Lacey, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.