Mallory Lynn Hansen, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

8981 N Skye Loop
Eagle Mountain, UT 84005

Phone

(661) 904-8811

NPI assigned

Jun 19, 2017

Last updated

Aug 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hansen Home Speech, LLC

  • Hearing and Speech Clinic/Center
  • Eagle Mountain, UT
  • NPI 1528615671
  NPD Authorized official
• Rainbow Kids Achievement Center

  • Pediatric Occupational Therapist
  • Rancho Santa Margarita, CA
  • NPI 1043465487

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1346770617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8981 N SKYE LOOP",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056224",
            "telephone_number": "661-904-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8981 N SKYE LOOP",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "84005",
            "telephone_number": "661-904-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30252 Tomas Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "postal_code": "926882181",
            "country_code": "US",
            "telephone_number": "949-459-1658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MALLORY",
        "middle_name": "LYNN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mallory@hansenhomespeech.com",
            "affiliation": "N",
            "address_1": "8981 N Skye Loop",
            "city": "Eagle Mountain",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Braden Gurney, FNP-BC
• Evan Michael Gwilliam, DC
• Derek Willis Hagey, LMFT
• Hansen Home Speech, LLC
• Cera Marie Hansen, FNP-C
• Hardy Behavioral Health, PLLC
• Priscilla Lynn Hardy
• Emily Elizabeth Harper, ACMHC
• Hart Dental
• Brooke Hartman, OTR/L

• Speech-Language Pathologist in Eagle Mountain, UT
• Providers in Eagle Mountain, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.