Individual provider Active NPI

Haley J Small

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1013582980
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1977 Issued in WV
Practice address
2850 5TH Ave
Huntington, WV 25702-1436
Phone
(304) 528-5000
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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 SLP-1977 WV Primary

Addresses

Primary practice location

2850 5TH Ave
Huntington, WV 25702-1436

Mailing address

2850 5TH Ave
Huntington, WV 25702-1436
Phone (304) 528-5000

Other practice location 1

1 John Marshall Dr Dept Of
Huntington, WV 25755-1436
Phone (304) 696-3641

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Haley.small@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824002327 WV Practitioner - Qualified Speech Language Pathologist 6709269780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall University Speech-Language Pathologist CurrentSince Jan 1, 2023 Accepting new patients
Cabell County Board of Education PastSince Jun 22, 2021 Accepting new patients
Cabell County Board of Education PastSince Jun 22, 2021 Accepting new patients

Locations

1 John Marshall Dr
#143
Huntington, WV 25755
Phone (304) 696-3641

1 John Marshall Dr
Huntington, WV 25755
Phone (304) 696-3170

Interoperability endpoints

  • Direct secure messaging: haley.small@marshall.cernerdirect.com

Organizations & group practices 3

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1013582980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021436",
            "telephone_number": "304-528-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021436",
            "telephone_number": "304-528-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 John Marshall Dr Dept Of",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257551436",
            "country_code": "US",
            "telephone_number": "304-696-3641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "HALEY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Haley.small@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1 John Marshall Dr Dept Of",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257551436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.