Active NPI
Kathleen Forehand Hall, CCC SLP
- Speech-Language Pathologist
- Fairbanks, AK
National Provider Identifier
1003883497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 119
- Practice address
- 1327 Kalakaket Street
Fairbanks, AK 99709 - Phone
- (907) 452-4517
- Fax
- (907) 452-4263
- NPI assigned
- Mar 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 119 | AK | Primary |
Addresses
Primary practice location
1327 Kalakaket Street
Fairbanks, AK 99709
Mailing address
PO Box 265
Ester, AK 99725
Phone (907) 457-6166
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP4565 | Medicaid | AK | |
| A009 | Other | TRICARE | |
| 119 | Other | AK | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119 | AK | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkabout Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Faribanks, AK
- NPI 1679797450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003883497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 265",
"city": "ESTER",
"state": "AK",
"postal_code": "99725",
"telephone_number": "907-457-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 KALAKAKET STREET",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "99709",
"telephone_number": "907-452-4517",
"fax_number": "907-452-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "KATHLEEN",
"middle_name": "FOREHAND",
"name_prefix": "Mrs.",
"credential": "CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP4565",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "119",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.