Individual provider Active NPI

Maria Beatrice Hageraeng, SLPA

  • Speech-Language Pathologist
  • Madison, TN
National Provider Identifier
1437986825
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
802 Issued in TN
Practice address
113 Cumberland Ave Ste 110
Madison, TN 37115-3339
Phone
(615) 596-1830
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 802 TN Primary

Addresses

Primary practice location

113 Cumberland Ave Ste 110
Madison, TN 37115-3339

Mailing address

600 S 9TH St
Nashville, TN 37206-3834
Phone (415) 521-4028

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

LicenseStateTypeSpecialty
802TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Ellenbecker and Borsellino PLLC Speech-Language Pathologist CurrentSince Sep 23, 2024 Accepting new patients

Locations

113 Cumberland Ave
Ste 110
Madison, TN 37115
Phone (615) 596-1830

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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1437986825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 9TH ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063834",
            "telephone_number": "415-521-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CUMBERLAND AVE STE 110",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153339",
            "telephone_number": "615-596-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERAENG",
        "first_name": "MARIA",
        "middle_name": "BEATRICE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.