Individual provider Active NPI

Carla C. Hall, CCC-SLP

  • Speech-Language Pathologist
  • Winter Park, FL
National Provider Identifier
1487879011
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6304 Issued in FL
Practice address
1555 Howell Branch Rd
Suite B-1
Winter Park, FL 32789-1109
Phone
(407) 645-2081
Fax
(407) 645-4574
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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 SA6304 FL Primary

Addresses

Primary practice location

1555 Howell Branch Rd
Suite B-1
Winter Park, FL 32789-1109

Mailing address

2836 Revere CT
Casselberry, FL 32707-5889
Phone (407) 699-7269

Other names 1

  • Miss Carla C. Conover 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
SA6304FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Past Accepting new patients

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1487879011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 REVERE CT",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075889",
            "telephone_number": "407-699-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 HOWELL BRANCH RD",
            "address_2": "SUITE B-1",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891109",
            "telephone_number": "407-645-2081",
            "fax_number": "407-645-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CARLA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "CONOVER",
            "middle_name": "C.",
            "prefix": "MISS",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.