Active NPI
Hannah Agnes Wilson
- Speech-Language Pathologist
- Garland, TX
National Provider Identifier
1427715010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 118563
- Practice address
- 630 Stroud LN
Garland, TX 75043-5444 - Phone
- (972) 290-4100
- NPI assigned
- Nov 18, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 118563 | TX | Primary |
Addresses
Primary practice location
630 Stroud LN
Garland, TX 75043-5444
Mailing address
630 Stroud LN
Garland, TX 75043-5444
Phone (972) 290-4100
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 |
|---|---|---|---|
| 118563 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1427715010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 STROUD LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435444",
"telephone_number": "972-290-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 STROUD LN",
"city": "GARLAND",
"state": "TX",
"postal_code": "750435444",
"telephone_number": "972-290-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "HANNAH",
"middle_name": "AGNES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-18",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "118563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
- Ruth Ann Williamson, MS RN FNP
- Willis Family Dentistry
- Courtney Willis, CCC-SLP
- Schrie Willis, D.D.S.
- Wills Optical of Garland Inc (Metro Plex Optical)
- Jasmin Jenay Wilson, LMSW
- Rhonda Goree Wilson, LBSW
- Apryl R Winfrey, CNA
- Winnie-Stowell Hospital District (Avir at Garland)
- Lakisha P Winters, M.A.,LPC-A, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.