Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114105855 Individual Practitioner Female Practitioner

Heather Waller

Speech-Language Pathologist • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Heather Waller is a registered healthcare professional specializing in Speech-Language Pathologist in St Augustine, FL. Practice services are available at 111 NATURE WALK PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 Nature Walk Pkwy
Suite 101

St Augustine, FL 320925073

Telephone 9042307761
Fax 9042307763
Associated Practice Facility / Clinic
🏢 A Plus Children's Therapy Facility NPI 1790875177

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
100 Specialists

Practicing in St Augustine, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA9324

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Kristin Bowman

Speech-Language Pathologist

NPI 1003009887
Janet Partyka , PT

Physical Therapist

NPI 1083756936

Physical Therapist

Kaitlyn Thomas , MA, CCC-SLP

Speech-Language Pathologist

NPI 1124670146

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Kathryn Sumner , MS

Speech-Language Pathologist

NPI 1154849537

Master of Science

Jerry Yancey , MHS, OTR, L

Occupational Therapist

NPI 1225114366

MHS, Occupational Therapist Registered, L

NPI 1265206940

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 05, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2008

Registered at 111 NATURE WALK PKWY, SUITE 101, ST AUGUSTINE, FL 320925073 (Tel: 9042307761)

📍
Updated Business Mailing Address February 05, 2008

Registered at 111 NATURE WALK PKWY, SUITE 101, ST AUGUSTINE, FL 320925073 (Tel: 9042307761)

👤
Provider Name / Credentials Updated February 05, 2008

Recorded as HEATHER WALLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2008

Speech-Language Pathologist (License #SA9324 in FL)

🟢
Initial NPI Registration & Enumeration February 05, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114105855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2008
Last Update: February 05, 2008
Sole Proprietor: Yes

Mailing Address

111 Nature Walk Pkwy, Suite 101

St Augustine, FL 320925073

Phone: 9042307761

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.