Individual provider Active NPI

Abigail Hickling, CCC-SLP

  • Speech-Language Pathologist
  • Delmar, NY
National Provider Identifier
1477088748
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
028385-01 Issued in NY
Practice address
10 Hallwood Rd Ste D
Delmar, NY 12054-1982
Phone
(518) 526-3124
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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 028385-01 NY Primary

Addresses

Primary practice location

10 Hallwood Rd Ste D
Delmar, NY 12054-1982

Mailing address

32 Chestnut Rd
Delmar, NY 12054-2604

Other practice location 1

32 Chestnut Rd
Delmar, NY 12054-2604
Phone (518) 526-3124

Other names 1

  • Abigail Martin Former name

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
028385-01NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
All Speak Speech Therapy, PLLC Speech-Language Pathologist CurrentSince Dec 22, 2019 Accepting new patients
St. Catherine'S Center for Children Past Accepting new patients
St. Catherine'S Center for Children Past Accepting new patients

Locations

10 Hallwood Rd
Ste D
Delmar, NY 12054
Phone (518) 992-7999

Organizations & group practices 3

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1477088748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHESTNUT RD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HALLWOOD RD STE D",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541982",
            "telephone_number": "518-526-3124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Chestnut Rd",
            "address_purpose": "LOCATION",
            "city": "Delmar",
            "state": "NY",
            "postal_code": "120542604",
            "country_code": "US",
            "telephone_number": "518-526-3124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKLING",
        "first_name": "ABIGAIL",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028385-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "MARTIN",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.