Mary Beth Hackett, B.S. IN SPEECH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3849437 Issued in AZ

Practice address

6218 S 7TH St
Phoenix, AZ 85042-4211

Phone

(602) 326-3061

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Mary Beth Forkey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467575811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 E CAMPBELL AVE",
            "address_2": "APT # 1070",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183701",
            "telephone_number": "602-326-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 S 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424211",
            "telephone_number": "602-326-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "MARY BETH",
        "name_prefix": "Mrs.",
        "credential": "B.S. IN SPEECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "3849437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982724480",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY BETH",
            "last_name": "FORKEY",
            "prefix": "MRS.",
            "credential": "B.S. IN SPEECH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nichole Hackbarth, MSN, RN, CPN
• John David Hacker
• Anita Hackett, CCC-SLP
• George Hackett, MS, ATC, CSCS
• John Peter Hackett III, M.D.
• Stephanie Hackett, LMSW
• Mark S Hackman, MD
• Amanda Aaron Hackwell, PHD
• Homyra Hadavand, M.D.
• Ashley Haddad

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.