Individual provider Active NPI

Hannah Hurt, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Fort Walton Beach, FL
National Provider Identifier
1215283353
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11622 Issued in FL
Practice address
1775 Lewis Turner Blvd
Suite 101
Fort Walton Beach, FL 32547-1267
Phone
(850) 226-8279
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA11622 FL Primary
Speech-Language Pathologist 235Z00000X 4538 TN

Addresses

Primary practice location

1775 Lewis Turner Blvd
Suite 101
Fort Walton Beach, FL 32547-1267

Mailing address

1775 Lewis Turner Blvd
Suite 101
Fort Walton Beach, FL 32547-1267
Phone (850) 226-8279

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

LicenseStateTypeSpecialty
4538TNMDOccupational Therapist
SA11622FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1215283353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 LEWIS TURNER BLVD",
            "address_2": "SUITE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471267",
            "telephone_number": "850-226-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 LEWIS TURNER BLVD",
            "address_2": "SUITE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471267",
            "telephone_number": "850-226-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "HANNAH",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11622",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.