Active NPI
Heather Lee Cellini, MS, CF-SLP
- Speech-Language Pathologist
- Beaverton, OR
National Provider Identifier
1902498512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 61089097
- Practice address
- 6072 SW Lynmar PL
Beaverton, OR 97078-8696 - Phone
- (971) 506-7998
- NPI assigned
- Feb 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16929 | OR | |
| Speech-Language Pathologist | 235Z00000X | 61089097 | WA | Primary |
Addresses
Primary practice location
6072 SW Lynmar PL
Beaverton, OR 97078-8696
Mailing address
6072 SW Lynmar PL
Beaverton, OR 97078-8696
Phone (971) 506-7998
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16929 | OR | MD | Speech-Language Pathologist |
| 61089097 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1902498512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6072 SW LYNMAR PL",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970788696",
"telephone_number": "971-506-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6072 SW LYNMAR PL",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970788696",
"telephone_number": "971-506-7998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELLINI",
"first_name": "HEATHER",
"middle_name": "LEE",
"credential": "MS, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "16929",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "61089097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.