Kristin Anne Heithold, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA19022 Issued in FL

Practice address

1762 Sea Lark LN
Navarre, FL 32566-7406

Phone

(850) 204-8030

NPI assigned

Aug 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Full Circle Therapies, LLC

  • Speech-Language Pathologist
  • Navarre, FL
  • NPI 1932659927
  NPD (past)

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1962059451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 SEA LARK LN",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667406",
            "telephone_number": "850-204-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 SEA LARK LN",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667406",
            "telephone_number": "850-204-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITHOLD",
        "first_name": "KRISTIN",
        "middle_name": "ANNE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9173",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart Song Speech and Language Services LLC
• Jordan Hebert, DPT
• Robin Hebert
• Lauryn Hefner
• Jacqueline Heide
• Dakota Henderson
• Ruth Elaine Henderson, FELLOW, AAPC
• Amber Herd
• Isaac Ari Hernandez, DC
• Willow Dawn Higgins, PT, DPT

• Speech-Language Pathologist in Navarre, FL
• Providers in Navarre, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.