Active NPI
Shandolyn G Hawkins, M.S.,CCC,SLP
- Speech-Language Pathologist
- Pinehurst, NC
National Provider Identifier
1194909671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7906
- Practice address
- 650 Page St.
Suite D
Pinehurst, NC 28374-4177 - Phone
- (910) 295-2609
- Fax
- (910) 295-0026
- NPI assigned
- Dec 20, 2007
- Sex
- Female
- 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 | 7906 | NC | Primary |
Addresses
Primary practice location
650 Page St.
Suite D
Pinehurst, NC 28374-4177
Mailing address
PO Box 4177
650 Page St., Suite D
Pinehurst, NC 28374-4177
Phone (910) 295-2609
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 |
|---|---|---|---|
| 7906 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Connections, LLC | Speech-Language Pathologist | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Pinehurst, NC
- NPI 1669483210
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1194909671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4177",
"address_2": "650 PAGE ST., SUITE D",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283744177",
"telephone_number": "910-295-2609",
"fax_number": "910-295-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 PAGE ST.",
"address_2": "SUITE D",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283744177",
"telephone_number": "910-295-2609",
"fax_number": "910-295-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "SHANDOLYN",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "M.S.,CCC,SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.