Andrea J. Hawk, MS, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

16768 Issued in FL

Practice address

315 NE 10TH Ave
Crystal River, FL 34429-4456

Phone

(352) 795-7006

NPI assigned

Jan 10, 2020

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Superior Therapy Services Inc

  • Clinic/Center
  • Crystal River, FL
  • NPI 1134117542

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1093355679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 N BELLAMY PT",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344426327",
            "telephone_number": "352-501-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NE 10TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294456",
            "telephone_number": "352-795-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "ANDREA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "MS, CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "16768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Hanshew, APRN
• Kathleen Ellen Harley, CRNA
• Sandra J. Harrison, L.C.S.W
• Marybeth Hartigan Nayfield, ARNP
• Ghassan Aziz Hasan, MD
• Healing Expressions Therapy
• Healing Haven RX, LLC
• Health & Wellcare Services of Florida, Inc.
• Health Atlast Citrus Medical LLC
• Heart Associates PA

• Speech-Language Pathologist in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.