Individual provider Active NPI

Janette Martha Haanskorf, SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1487869186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3282 Issued in NC
Practice address
7384 Fontana Ridge LN
Raleigh, NC 27613-1469
Phone
(919) 788-9920
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 3282 NC Primary

Addresses

Primary practice location

7384 Fontana Ridge LN
Raleigh, NC 27613-1469

Mailing address

7384 Fontana Ridge LN
Raleigh, NC 27613-1469
Phone (919) 788-9920

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
3282NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487869186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7384 FONTANA RIDGE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131469",
            "telephone_number": "919-788-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7384 FONTANA RIDGE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131469",
            "telephone_number": "919-788-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAANSKORF",
        "first_name": "JANETTE",
        "middle_name": "MARTHA",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • 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.