Hannah Rebecca Black, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4824 Issued in AL

Practice address

412 W Cloverdale Rd
Scottsboro, AL 35768-4264

Phone

(256) 259-1505

NPI assigned

Nov 17, 2020

Last updated

Nov 17, 2020By 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 names 1

• Hannah Rebecca Hopkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1134722861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W CLOVERDALE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684264",
            "telephone_number": "256-259-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CLOVERDALE RD",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684264",
            "telephone_number": "256-259-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "HANNAH",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "HOPKINS",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Big C Skyline LLC
• Brett W Bigelow, DMD
• Tuesday M Bigelow, M.D.
• Christina M Biggs, CRNA
• Bio-Medical Applications of Alabama, Inc. (Bma Scottsboro Dialysis Center)
• James Nicholas Blackwood, FNP-C
• Jana Leigh Blanton, LHIS
• Edythe Bolden
• Morgan Leigh Bone, MS, RD, LD
• Kaitlin Bonner, SLP

• Speech-Language Pathologist in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.