Individual provider Active NPI

Susan Gill Haddad, MS, CCC, SLP

  • Speech/Language/Hearing Specialist/Technologist
  • El Paso, TX
National Provider Identifier
1083862338
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
100706 Issued in TX
Practice address
5640 Montana Ave Ste G
El Paso, TX 79925-3329
Phone
(915) 633-8301
Fax
(915) 591-6696
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X 100706 TX Primary

Addresses

Primary practice location

5640 Montana Ave Ste G
El Paso, TX 79925-3329

Mailing address

5640 Montana Ave Ste G
El Paso, TX 79925-3329
Phone (915) 633-8301

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

State licenses

LicenseStateTypeSpecialty
100706TXMDSpeech/Language/Hearing Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedi Pros Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1083862338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 MONTANA AVE STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253329",
            "telephone_number": "915-633-8301",
            "fax_number": "915-591-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 MONTANA AVE STE G",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253329",
            "telephone_number": "915-633-8301",
            "fax_number": "915-591-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "SUSAN",
        "middle_name": "GILL",
        "credential": "MS, CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "TX",
            "license": "100706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.