Active NPI
Hannah Fariss, M.S., CCC-SLP
- Speech-Language Pathologist
- Conroe, TX
National Provider Identifier
1558005686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 117788
- Practice address
- 1999 Lake of Wedgewood Dr
Conroe, TX 77304-3189 - Phone
- (936) 463-1592
- NPI assigned
- Apr 25, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 117788 | TX | Primary |
Addresses
Primary practice location
1999 Lake of Wedgewood Dr
Conroe, TX 77304-3189
Mailing address
708 E Cypresswood Dr Apt 1106
Spring, TX 77373-5546
Phone (337) 396-4334
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117788 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1558005686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 E CYPRESSWOOD DR APT 1106",
"city": "SPRING",
"state": "TX",
"postal_code": "773735546",
"telephone_number": "337-396-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 LAKE OF WEDGEWOOD DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773043189",
"telephone_number": "936-463-1592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARISS",
"first_name": "HANNAH",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "117788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.