Individual provider Active NPI

Carissa Diane Hunter, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Ben Wheeler, TX
National Provider Identifier
1366576035
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114588 Issued in TX
Practice address
301 FM 1861
Ben Wheeler, TX 75754-8407
Phone
(903) 479-3872
NPI assigned
Mar 15, 2007
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 100654 TX
Speech-Language Pathologist 235Z00000X 114588 TX Primary

Addresses

Primary practice location

301 FM 1861
Ben Wheeler, TX 75754-8407

Mailing address

808 Angie LN
Athens, TX 75751-2902
Phone (214) 690-1091

Other practice location 1

1901 N Glenville Dr
Suite 800
Richardson, TX 75081-7207
Phone (972) 238-9916

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chunter@martinsmillisd.net 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
100654TXMDSpeech-Language Pathologist
114588TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martins Mill I S D PastSince Aug 7, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1366576035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 ANGIE LN",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757512902",
            "telephone_number": "214-690-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FM 1861",
            "city": "BEN WHEELER",
            "state": "TX",
            "postal_code": "757548407",
            "telephone_number": "903-479-3872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N Glenville Dr",
            "address_2": "Suite 800",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750817207",
            "country_code": "US",
            "telephone_number": "972-238-9916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "CARISSA",
        "middle_name": "DIANE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100654",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chunter@martinsmillisd.net",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "301 Fm 1861",
            "city": "Ben Wheeler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757548407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ben Wheeler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.