Active NPI
Victoria Christine Hanawalt, MS, CCC/SLP
- Speech-Language Pathologist
- West Chester, OH
National Provider Identifier
1184824500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 5003
- Practice address
- 7609 Hidden Trace Dr
West Chester, OH 45069-1557 - Phone
- (513) 779-7148
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | SP 5003 | OH | Primary |
Addresses
Primary practice location
7609 Hidden Trace Dr
West Chester, OH 45069-1557
Mailing address
7609 Hidden Trace Dr
West Chester, OH 45069-1557
Phone (513) 779-7148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235Z00000X | Other | OH | SPEECH LANGUAGE PATHOLOGI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP 5003 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1184824500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7609 HIDDEN TRACE DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450691557",
"telephone_number": "513-779-7148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7609 HIDDEN TRACE DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450691557",
"telephone_number": "513-779-7148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANAWALT",
"first_name": "VICTORIA",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "MS, CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 5003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANGUAGE PATHOLOGI",
"identifier": "235Z00000X",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.