Patricia Hackett

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11165 Issued in FL

Practice address

13707 Dallas Dr
Hudson, FL 34667-7179

Phone

(727) 378-5823

Fax

(727) 378-5824

NPI assigned

Oct 2, 2008

Last updated

Sep 21, 2012By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1396996849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13707 DALLAS DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677179",
            "telephone_number": "727-378-5823",
            "fax_number": "727-378-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13707 DALLAS DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677179",
            "telephone_number": "727-378-5823",
            "fax_number": "727-378-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.010082",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Palliative Care, Inc.
• Gulf Internal Medicine PL
• Gulfcoast Anesthesia Specialists Inc
• Karin H. Gunther, DO, MS
• Maria Ines Guzman Rios
• Steven Hadlock
• Wissam Hadri, DO
• Vivian Pauline Haidermota, FNP, APRN
• Colleen Patricia Hall, COTA/L
• Kimberly A Halsey, A.P.,D.O.M.

• Speech-Language Pathologist in Hudson, FL
• Providers in Hudson, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.