Individual provider Active NPI

Anthea Melissa Casella Hoell, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bastrop, TX
National Provider Identifier
1053089136
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
111657 Issued in TX
Practice address
601 Martin Luther King Jr Dr
Bastrop, TX 78602-3442
Phone
(512) 772-7620
Fax
(512) 321-3564
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 111657 TX Primary

Addresses

Primary practice location

601 Martin Luther King Jr Dr
Bastrop, TX 78602-3442

Mailing address

1507 Pine St
Bastrop, TX 78602-3435
Phone (512) 772-7842

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1053089136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 PINE ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023435",
            "telephone_number": "512-772-7842",
            "fax_number": "512-321-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MARTIN LUTHER KING JR DR",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023442",
            "telephone_number": "512-772-7620",
            "fax_number": "512-321-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELL",
        "first_name": "ANTHEA",
        "middle_name": "MELISSA CASELLA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.