Stephanie Hicks, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

61338573 Issued in WA

Practice address

364 S Park St
Walla Walla, WA 99362-3249

Phone

(509) 527-3700

NPI assigned

Sep 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Walla Walla Public Schools

  • Local Education Agency (LEA)
  • Walla Walla, WA
  • NPI 1124132097
  NPD (past)

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1053032060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DAYBREAK RD",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S PARK ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623249",
            "telephone_number": "509-527-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Howard St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993623201",
            "country_code": "US",
            "telephone_number": "509-527-3077 x8586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Isaacs Ave",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993622140",
            "country_code": "US",
            "telephone_number": "509-257-3077 x8586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "STEPHANIE",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61338573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecka Marsh Hermsen, R.D, C.D
• Jessica Hernandez-Luis
• Adrienne Hernandez, RDN
• Barbara June Hetrick, O.D.
• Jessica Rose Louise Hiatt, LMP
• Caitlin Ryan Hill, LMFTA
• Kristen J. Hill
• Jeanie Marie Hisey, MSW
• Anh Ngoctuyet Hoang, PHARM.D
• Ian Wade Hockett

• Speech-Language Pathologist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.