Individual provider Active NPI

Corinne Hegwood, CCC-SLP

  • Speech-Language Pathologist
  • Natchez, MS
National Provider Identifier
1255652103
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP0000003896 Issued in TN
Practice address
123 Jefferson Davis Blvd
Natchez, MS 39120-5103
Phone
(601) 445-0005
Fax
(601) 445-0370
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP0000003896 TN Primary

Addresses

Primary practice location

123 Jefferson Davis Blvd
Natchez, MS 39120-5103

Mailing address

123 Jefferson Davis Blvd
Natchez, MS 39120-5103
Phone (601) 445-0005

Other names 1

  • Corinne Hazlip Former name

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

LicenseStateTypeSpecialty
SP0000003896TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Language Solutions Speech-Language Pathologist Current Accepting new patients
Key Rehab Associates, Inc. Speech-Language Pathologist Past Accepting new patients
Key Medical Supply,LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1255652103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 JEFFERSON DAVIS BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205103",
            "telephone_number": "601-445-0005",
            "fax_number": "601-445-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 JEFFERSON DAVIS BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205103",
            "telephone_number": "601-445-0005",
            "fax_number": "601-445-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGWOOD",
        "first_name": "CORINNE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000003896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "HAZLIP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.