Individual provider Active NPI

Hallie Elen Srein, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Melbourne, FL
National Provider Identifier
1073070090
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA21980 Issued in FL
Practice address
2283 Misty Way LN
Melbourne, FL 32935-1456
Phone
(321) 652-3129
NPI assigned
Feb 26, 2019
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 SA21980 FL Primary

Addresses

Primary practice location

2283 Misty Way LN
Melbourne, FL 32935-1456

Mailing address

2283 Misty Way LN
Melbourne, FL 32935-1456
Phone (321) 652-3129

Other names 1

  • Hallie Elen Sanders Former name

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
SA21980FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1073070090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 MISTY WAY LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329351456",
            "telephone_number": "321-652-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 MISTY WAY LN",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329351456",
            "telephone_number": "321-652-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SREIN",
        "first_name": "HALLIE",
        "middle_name": "ELEN",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALLIE",
            "last_name": "SANDERS",
            "middle_name": "ELEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.