IndividualActive
Kelly Heider-Walsh
NPI 1497346605 · Specialist · Deer Park, NY
Kelly Heider-Walsh is a Specialist provider in Deer Park, NY (NPI 1497346605).
Provider details
- NPI number
- 1497346605
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1014 Grand Blvd Ste 5
Deer Park, NY 11729-5782
Phone: (631) 243-1765
Street-level locationGet directions
Mailing address
9 Willow St
Selden, NY 11784-2807
Registry dates
- Enumerated
- 2021-01-30
- Last updated
- 2021-01-30
- Certified
- 2021-01-28
Frequently asked questions
- What is Kelly Heider-Walsh's NPI number?
- Kelly Heider-Walsh's National Provider Identifier (NPI) is 1497346605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Heider-Walsh's specialty?
- Kelly Heider-Walsh is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kelly Heider-Walsh located?
- Kelly Heider-Walsh's practice location on file with NPPES is 1014 Grand Blvd Ste 5, Deer Park, NY 11729-5782.
- What is Kelly Heider-Walsh's phone number?
- The practice phone number listed in the NPPES registry for Kelly Heider-Walsh is (631) 243-1765.
- Is Kelly Heider-Walsh's NPI active?
- Yes — Kelly Heider-Walsh's NPI (1497346605) is active in the NPPES registry as of the last update on 2021-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.