Individual provider Active NPI

Hilary Lynn Nelson, MS, CCC-SLP

  • Speech-Language Pathologist
  • Allen, TX
National Provider Identifier
1083980544
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09115398 Issued in TX
Practice address
515 W Main St
Suite 111
Allen, TX 75013-8000
Phone
(214) 509-6961
Fax
(214) 382-0943
NPI assigned
Mar 29, 2012
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 09115398 TX Primary
Hearing Instrument Specialist 237700000X 17541 TX

Addresses

Primary practice location

515 W Main St
Suite 111
Allen, TX 75013-8000

Mailing address

515 W Main St
Suite 111
Allen, TX 75013-8000
Phone (214) 509-6961

Other names 1

  • Miss Hilary Lynn Achenbach 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 Science

State licenses

LicenseStateTypeSpecialty
17541TXMDPharmacist
09115398TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Therapy Zone LLC 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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1083980544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "address_2": "SUITE 111",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138000",
            "telephone_number": "214-509-6961",
            "fax_number": "214-382-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "address_2": "SUITE 111",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138000",
            "telephone_number": "214-509-6961",
            "fax_number": "214-382-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "HILARY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "09115398",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "17541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILARY",
            "last_name": "ACHENBACH",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.