Active NPI
Heather Jan Schultz, M.A., CCC-SLP
- Speech-Language Pathologist
- Park Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2016022801
- Practice address
- Telemedicine Services
501 Eastern Ave S
Park Rapids, MN 56470-5647 - Phone
- (319) 471-8328
- NPI assigned
- May 10, 2017
- Last updated
- Nov 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2016022801 | MN | Primary |
Addresses
Primary practice location
Telemedicine Services
501 Eastern Ave S
Park Rapids, MN 56470-5647
Mailing address
501 Eastern Ave S
Park Rapids, MN 56470-1757
Phone (319) 471-8328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1103 1St St E
Park Rapids, MN 56470-1879
Phone (218) 732-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26023 | CA | MD | Marriage & Family Therapist |
| 2016022801 | MN | MD | Speech-Language Pathologist |
| 10244 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Regional Health Center | Current | Accepting new patients | |
| St. Marys Regional Health Center | Current | Accepting new patients | |
| St Mary's Regional Health Center | Current | Accepting new patients |
Locations
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1103 1st St E
Park Rapids, MN 56470
Phone (218) 732-0542
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Essentia Health St. Mary's- Detroit Lakes
- Rural Acute Care Hospital
- Detroit Lakes, MN
- NPI 1679561088
-
dba Essentia Health St. Mary's-Frazee Clinic
- Rural Health Clinic/Center
- Frazee, MN
- NPI 1902364482
-
dba Essentia Health St. Mary's - Frazee Clinic
- Family Medicine Physician
- Frazee, MN
- NPI 1275977928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1902332000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 EASTERN AVE S",
"city": "PARK RAPIDS",
"state": "MN",
"postal_code": "564701757",
"telephone_number": "319-471-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TELEMEDICINE SERVICES",
"address_2": "501 EASTERN AVE S",
"city": "PARK RAPIDS",
"state": "MN",
"postal_code": "564705647",
"telephone_number": "319-471-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "HEATHER",
"middle_name": "JAN",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-10",
"last_updated": "2020-11-20",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "2016022801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Rapids, MN
- Sanford Health of Northern Minnesota (Sanford Health Park Rapids Eye Center and Optical)
- Ashley Sauer
- Nathan Schaefbauer, D.C.
- Troy Thomas Schmitz, OTR
- Lydia Schroeder, PA-C
- Seip Drug LLC (Seip Prescriptions Shoppe)
- Charles Stephen Shaffer, M.D.
- Benjamin William Sitz, DDS
- Amanda Marie Slaikeu, PT
- Smart Chiropractic Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.