Individual provider Active NPI

Alice Elizabeth Hawkins, CCC-SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1356752885
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1404018 Issued in NC
Practice address
7815 Cape Charles Dr
Raleigh, NC 27617-8303
Phone
(919) 757-6420
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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 1404018 NC Primary

Addresses

Primary practice location

7815 Cape Charles Dr
Raleigh, NC 27617-8303

Mailing address

7815 Cape Charles Dr
Raleigh, NC 27617-8303
Phone (919) 757-6420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001002164 WA Practitioner - Qualified Speech Language Pathologist 9638494610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution Wellness and TherapyGroup PAC ID 9335588771, 4 clinicians

Practice addresses (Care Compare)

11 W Aloha St
Seattle, WA 98119-3743
Phone (206) 281-5745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10871NCMDOccupational Therapist
1404018NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Wellness and Therapy Speech-Language Pathologist CurrentSince Feb 16, 2024 Accepting new patients

Organizations & group practices 1

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1356752885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 CAPE CHARLES DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178303",
            "telephone_number": "919-757-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 CAPE CHARLES DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178303",
            "telephone_number": "919-757-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ALICE",
        "middle_name": "ELIZABETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1404018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.

Verify at the official NPI Registry.