Susan Mayo Hamilton, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-2359 Issued in KY

Practice address

481 Stephens Branch Road
Martin, KY 41649

Phone

(606) 285-0883

NPI assigned

Apr 12, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Floyd County Health Department

  dba Betsy Layne Branch

  • Public Health or Welfare Agency
  • Betsy Layne, KY
  • NPI 1821046129
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073737722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 ARKANSAS CREEK RD",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416498007",
            "telephone_number": "606-285-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 STEPHENS BRANCH ROAD",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "41649",
            "telephone_number": "606-285-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SUSAN",
        "middle_name": "MAYO",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GN 108",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G.M. Majmundar PSC
• Jennifer N. Gilliam, BA
• Jennifer Mischelle Hall, PHARMD.
• Angela Hamilton, BA/PE
• Leigh Danielle Hamilton, PHARM D
• Ashleigh Kenella Hayton, PA-C
• Ashton Higdon, PHARMD
• Bailey Mariah Hoskins, PHARMD
• Tina Gay Hughes, MSPT
• Majid J Jasim, PHARMACIST

• Speech-Language Pathologist in Martin, KY
• Providers in Martin, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.