Active NPI
Andrea Austin Hancock, MSCCCSLP
- Speech-Language Pathologist
- Morganfield, KY
National Provider Identifier
1215134200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5462
- Practice address
- 509 N Carrier St
Morganfield, KY 42437-1201 - Phone
- (270) 389-3513
- Fax
- (270) 389-4706
- NPI assigned
- Jul 2, 2007
- Last updated
- Aug 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | KY-3169 | KY | |
| Speech-Language Pathologist | 235Z00000X | 5462 | SC | Primary |
Addresses
Primary practice location
509 N Carrier St
Morganfield, KY 42437-1201
Mailing address
PO Box 26106
Greenville, SC 29616-1106
Phone (864) 905-9645
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 |
|---|---|---|---|
| 5462 | SC | MD | Counselor |
| KY-3169 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1215134200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26106",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296161106",
"telephone_number": "864-905-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 N CARRIER ST",
"city": "MORGANFIELD",
"state": "KY",
"postal_code": "424371201",
"telephone_number": "270-389-3513",
"fax_number": "270-389-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "ANDREA",
"middle_name": "AUSTIN",
"credential": "MSCCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "KY-3169",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganfield, KY
- Green River District Health Department (Union County Middle School Health)
- Green River District Health Department (Union County High School Clinic)
- Green River District Health Dept (Union County Health Center)
- Jaci Hagan, CSW
- Laura B Hancock Jones, D.M.D.
- Terry D Harmon, D.C.
- Matthew Hemmerle, DR
- Heather Ann Henderson, LCSW
- Jillian Michael Humphrey, BCBA
- Tim S Joiner, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.