Rachaele Hurd, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008622 Issued in GA

Practice address

315 Indian Bend TRL
Lagrange, GA 30240-7819

Phone

(770) 630-2968

NPI assigned

Apr 26, 2023

Sex

Female

Sole proprietor

Yes

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.

• Three Sparrows Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Lagrange, GA
  • NPI 1831881259
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1053009183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 INDIAN BEND TRL",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302407819",
            "telephone_number": "770-630-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 INDIAN BEND TRL",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302407819",
            "telephone_number": "770-630-2968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 S Davis Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302412617",
            "country_code": "US",
            "telephone_number": "770-630-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURD",
        "first_name": "RACHAELE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hughston Clinic, P.C.
• Hughston Medical Group, PC
• Robert Matthew Hulsey
• Rebecca Fondren Humphries, APRN
• Karyn Livingston Hunnicutt, M.D.
• Hutto Limb and Brace, LLC
• Vivian M Hutton, PA-C
• Inara Health and Wellness
• Independent Physical Therapy of Ga, LLC
• Infectious Diseases & International Medicine LLC

• All providers in Lagrange, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.