SHANNON ANNE HEIL M.S., CCC-SLP
NPI 1043832397
Speech-Language Pathologist in Ridgewood, NJ

Q: What is Shannon Heil's NPI number?

The NPI number for Shannon Heil is 1043832397. It was assigned to this individual provider in the NPPES registry on May 9, 2020.

Q: What is Shannon Heil's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Heil was last updated on May 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2020

304 S VAN DIEN AVE, RIDGEWOOD, NJ 07450(201) 445-8200 Get Directions Write a Review

NPPES record last updated: May 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Shannon Anne Heil M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON ANNE HEIL M.S., CCC-SLP (NPI 1043832397) is an individual speech-language pathologist provider in Ridgewood, New Jersey, licensed in New Jersey (41YS00987700) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1043832397

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHANNON ANNE HEILCredential: M.S., CCC-SLP

Location Address304 S VAN DIEN AVERidgewood, NJ 07450-5200

Mailing Address43 Pitcairn DrRoseland, NJ 07068-1020 · (973) 525-6139

Phone(201) 445-8200

Sole ProprietorYes

Enumeration DateMay 9, 2020

NPPES CertifiedMay 9, 2020

✔ NPI 1043832397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NJ · 41YS00987700

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

304 S VAN DIEN AVE, Ridgewood, NJ 07450

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Anne Heil M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Shannon Heil reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthpro Heritage Rehab & Fitness, LLC

4.8 mi

Physical Therapist

5 BOROLINE RD
Saddle River, NJ 07458

Reassigned Medicare billing, New Jersey enrollment
160 clinicians in this Medicare group

NPI 1689022295 (865) 861-3548

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY KELLY

Occupational Therapist