Betty Hagen, SPEECH THERAPY

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

393-LIMITED Issued in SD

Practice address

1609 University Ave
Hot Springs, SD 57747-2126

Phone

(605) 745-4145

NPI assigned

Jul 27, 2016

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 and National Provider Directory roles.

• Hot Springs School Dist. 23 2

  • Local Education Agency (LEA)
  • Hot Springs, SD
  • NPI 1720128507
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1013460963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 DUCKHORN ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577036504",
            "telephone_number": "605-393-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 UNIVERSITY AVE",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472126",
            "telephone_number": "605-745-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "BETTY",
        "name_prefix": "Mrs.",
        "credential": "SPEECH THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "393-LIMITED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Lee Gourley, PA
• Grace of the Pines Home Health LLC
• Grace of the Pines Hospice LLC
• Nicole Rene Green, OTD, OTR/L
• Lori Lynn Grogg
• Sharon Kay Hansen, MA CNS LMFT
• Stephanie Lynn Harrington
• Lori Harrison, R.R.T.
• Jenny Hayashi, APRN
• Heather Hazen

• Speech-Language Pathologist in Hot Springs, SD
• Providers in Hot Springs, SD by specialty
• Speech-Language Pathologist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.