Individual provider Active NPI

Morgan Hagan, MA, CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1528679065
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5564 Issued in OK
Practice address
3607 Menchaca Rd
Austin, TX 78704-5947
Phone
(512) 444-7219
Fax
(512) 982-4331
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 5564 OK Primary

Addresses

Primary practice location

3607 Menchaca Rd
Austin, TX 78704-5947

Mailing address

120 N Perkins Rd Ste F
Stillwater, OK 74075-5524
Phone (405) 564-2701

Other practice location 1

120 N Perkins Rd Ste F
Stillwater, OK 74075-5524
Phone (405) 564-2701

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Pokluda, P.C. Speech-Language Pathologist CurrentSince Sep 11, 2022 Accepting new patients

Locations

3607 Menchaca Rd
Austin, TX 78704
Phone (512) 444-7219

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1528679065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N PERKINS RD STE F",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740755524",
            "telephone_number": "405-564-2701",
            "fax_number": "888-581-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 MENCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045947",
            "telephone_number": "512-444-7219",
            "fax_number": "512-982-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Perkins Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740755524",
            "country_code": "US",
            "telephone_number": "405-564-2701",
            "fax_number": "888-581-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.