Active NPI
Hannah Gonzales
- Speech-Language Pathologist
- Albuquerque, NM
National Provider Identifier
1497892715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP7173
- Practice address
- 415 Cedar St SE
Albuquerque, NM 87106-3927 - Phone
- (505) 224-7023
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP4723 | AZ | |
| Speech-Language Pathologist | 235Z00000X | SLP7173 | NM | Primary |
Addresses
Primary practice location
415 Cedar St SE
Albuquerque, NM 87106-3927
Mailing address
11724 Tivoli Ave NE
Albuquerque, NM 87111-5241
Phone (602) 541-0981
Other practice location 1
661 Quantum Rd NE
Rio Rancho, NM 87124-4505
Phone (602) 541-0981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125477 | Medicaid | AZ |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP4723 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Ear Institute | Speech-Language Pathologist | Current | Accepting new patients |
| Advanced Therapy Solutions, LLC | Past | Accepting new patients | |
| Mentis Reo, LLC. | Past | Accepting new patients |
Locations
415 Cedar St SE
Albuquerque, NM 87106
Phone (505) 224-7020
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.
-
- Occupational Therapist
- Albuquerque, NM
- NPI 1316029945
Speech-Language Pathologist
-
- Hearing and Speech Clinic/Center
- Mesa, AZ
- NPI 1972659399
-
- Developmental Disabilities Clinic/Center
- Gilbert, AZ
- NPI 1609541283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1497892715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11724 TIVOLI AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871115241",
"telephone_number": "602-541-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 CEDAR ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871063927",
"telephone_number": "505-224-7023"
}
],
"practiceLocations": [
{
"address_1": "661 Quantum Rd NE",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871244505",
"country_code": "US",
"telephone_number": "602-541-0981",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "HANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4723",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "SLP7173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125477",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.