Active NPI
Howell F Hathorne, MSCCC SLP
- Speech-Language Pathologist
- Jasper, TN
National Provider Identifier
1093738577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 001
- Practice address
- 1000 Highway 28
Jasper, TN 37347-3638 - Phone
- (423) 837-9500
- Fax
- (423) 837-3272
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 001 | TN | Primary |
Addresses
Primary practice location
1000 Highway 28
Jasper, TN 37347-3638
Mailing address
1000 Highway 28
Jasper, TN 37347-3638
Phone (423) 837-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3054468 | Other | TN | BCBST |
| 3054468 | Medicaid | TN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1093738577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HIGHWAY 28",
"city": "JASPER",
"state": "TN",
"postal_code": "373473638",
"telephone_number": "423-837-9500",
"fax_number": "423-837-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HIGHWAY 28",
"city": "JASPER",
"state": "TN",
"postal_code": "373473638",
"telephone_number": "423-837-9500",
"fax_number": "423-837-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHORNE",
"first_name": "HOWELL",
"middle_name": "F",
"credential": "MSCCC SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "3054468",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3054468",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jasper, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.