Individual provider Active NPI

Alice W Hartlaub

  • Speech-Language Pathologist
  • Corpus Christi, TX
National Provider Identifier
1295483097
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
18533 Issued in TX
Practice address
5241 Kentner St
Corpus Christi, TX 78412-2610
Phone
(361) 878-0160
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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 18533 TX Primary

Addresses

Primary practice location

5241 Kentner St
Corpus Christi, TX 78412-2610

Mailing address

5241 Kentner St
Corpus Christi, TX 78412-2610
Phone (361) 878-0160

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alice.Hartlaub@ccisd.us Direct

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
18533TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1295483097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 KENTNER ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122610",
            "telephone_number": "361-878-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 KENTNER ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122610",
            "telephone_number": "361-878-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLAUB",
        "first_name": "ALICE",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alice.Hartlaub@ccisd.us",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5241 Kentner St",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784122610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.