Heather Peters

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA18264 Issued in FL

Practice address

85332 Cherry Creek Dr
Fernandina Beach, FL 32034-3780

Phone

(561) 537-0963

NPI assigned

Sep 22, 2016

Last updated

Jan 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amelia Therapy Services, Inc

  • Speech-Language Pathologist
  • Fernandina Beach, FL
  • NPI 1942998943
  NPD Authorized official
• Crew Speech & Language Group, Inc

  • Speech-Language Pathologist
  • Saint Marys, GA
  • NPI 1679652176
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1992254767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85332 CHERRY CREEK DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343780",
            "telephone_number": "561-537-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85332 CHERRY CREEK DR",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343780",
            "telephone_number": "561-537-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA18264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group Florida Inc
• Joy Susan Pendergrass, FNP,BC
• Donald Penny
• Joanne Perez-Vergara, RDN. LD/N
• Samuel E Perkins Jr., MD
• Amelia Phillips, ARNP
• Harvey Gene Phillips Jr., MD
• Physicians Group Services PA (Coastal Health)
• Heather Stone Pinckney, LMHC
• Pinckstone Counseling LLC

• Speech-Language Pathologist in Fernandina Beach, FL
• Providers in Fernandina Beach, 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 Jan 16, 2023; 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.