Hannah Jayne Wagner, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPS526 Issued in AK

Practice address

3351 W 84TH Ave
Anchorage, AK 99502-5302

Phone

(907) 390-0492

NPI assigned

Aug 5, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Speak From the Heart LLC

  • Speech-Language Pathologist
  • Anchorage, AK
  • NPI 1023573409
  NPD (past) Authorized official

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549670400000",
    "number": "1487086146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 W 84TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025302",
            "telephone_number": "907-390-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 W 84TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995025302",
            "telephone_number": "907-390-0492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Klevin St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995081508",
            "country_code": "US",
            "telephone_number": "907-561-8060",
            "fax_number": "907-563-3172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "HANNAH",
        "middle_name": "JAYNE",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2019-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "67",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "SLPS526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ross Waggoner
• Madeline Alyssa Wagnecht, BHCM
• Brittany Wagner-Reda
• Diane Elizabeth Wagner, LPN
• Emily L Wagner, LPC
• Lindsay Cuaresma Wagner, PA-C
• Lindsey Christine Wagner, BSN, CNM
• Teresa Anne Wahala, RN
• Michael Wahlig, PT, DPT
• Amy Wahlstrom-Hitsman, SLP-CCC

• Speech-Language Pathologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.