Active NPI
Hari Hari Kaur Khalsa, MA/CCC SLP
- Speech-Language Pathologist
- Espanola, NM
National Provider Identifier
1376765313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1082
- Practice address
- #8 Athenas Way
Espanola, NM 87532 - Phone
- (505) 753-1733
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1082 | NM | Primary |
Addresses
Primary practice location
#8 Athenas Way
Espanola, NM 87532
Mailing address
PO Box 2011
Santa Cruz, NM 87567-2011
Phone (505) 577-8705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J7794 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1082 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1376765313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2011",
"city": "SANTA CRUZ",
"state": "NM",
"postal_code": "875672011",
"telephone_number": "505-577-8705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#8 ATHENAS WAY",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "87532",
"telephone_number": "505-753-1733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALSA",
"first_name": "HARI HARI",
"middle_name": "KAUR",
"name_prefix": "Ms.",
"credential": "MA/CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "1082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "J7794",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.