Individual provider Active NPI

Katie Michele Hanily, M.A. CF-SLP

  • Speech-Language Pathologist
  • Jersey City, NJ
National Provider Identifier
1043962137
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL-3772 Issued in NJ
Practice address
35 Journal Square PLZ Ste 610
Jersey City, NJ 07306-3871
Phone
(551) 247-1306
NPI assigned
Jan 20, 2022
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 TL-3772 NJ Primary

Addresses

Primary practice location

35 Journal Square PLZ Ste 610
Jersey City, NJ 07306-3871

Mailing address

338 Garden St Apt 2
Hoboken, NJ 07030-7577
Phone (908) 268-6543

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
TL-3772NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1043962137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 GARDEN ST APT 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070307577",
            "telephone_number": "908-268-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOURNAL SQUARE PLZ STE 610",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063871",
            "telephone_number": "551-247-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANILY",
        "first_name": "KATIE",
        "middle_name": "MICHELE",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.