Active NPI
Vicki Haddix
- Speech-Language Pathologist
- Glen Mills, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6408
- Practice address
- 9 Lacrue Ave
Glen Mills, PA 19342-1062 - Phone
- (800) 578-7906
- NPI assigned
- Apr 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 | 6408 | MA | Primary |
Addresses
Primary practice location
9 Lacrue Ave
Glen Mills, PA 19342-1062
Mailing address
PO Box 1000
Dept 128
Memphis, TN 38148-0128
Phone (901) 821-0338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4055 N Park Loop
Suite 1004
Memphis, TN 38152-4220
Phone (901) 678-2009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6408 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Current | Accepting new patients |
Locations
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
4055 N Park Loop
Memphis, TN 38152
Phone (901) 678-2003
4055 N Park Loop
Ste 1004
Memphis, TN 38152
Phone (901) 678-2009
1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Memphis, TN
- NPI 1609961655
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1215156005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"address_2": "DEPT 128",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381480128",
"telephone_number": "901-821-0338",
"fax_number": "901-821-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 LACRUE AVE",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421062",
"telephone_number": "800-578-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDIX",
"first_name": "VICKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "6408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.