Individual provider Active NPI

Joi Denene Ham

  • Speech-Language Pathologist
  • Lufkin, TX
National Provider Identifier
1013579697
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105045 Issued in TX
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

Updated by the provider on Jul 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000000OtherTXUNKNOWN

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

LicenseStateTypeSpecialty
105045TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.