Active NPI
Joi Denene Ham
- Speech-Language Pathologist
- Lufkin, TX
National Provider Identifier
1013579697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 105045
- Practice address
- 521 N Brentwood
Lufkin, TX 75904-7124 - Phone
- (936) 632-2639
- Fax
- (936) 639-4923
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 105045 | TX | Primary |
Addresses
Primary practice location
521 N Brentwood
Lufkin, TX 75904-7124
Mailing address
3102 Chimney Rock Dr
Nacogdoches, TX 75965-3210
Phone (936) 328-6868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | TX | UNKNOWN |
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 |
|---|---|---|---|
| 105045 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piney Woods Healthcare System LP | Past | Accepting new patients | |
| Regional Employee Assistance Program Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Lufkin, TX
- NPI 1881202018
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1013579697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 CHIMNEY ROCK DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759653210",
"telephone_number": "936-328-6868",
"fax_number": "936-632-4923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 N BRENTWOOD",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759047124",
"telephone_number": "936-632-2639",
"fax_number": "936-639-4923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAM",
"first_name": "JOI",
"middle_name": "DENENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "105045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNKNOWN",
"identifier": "000000000",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.