Individual provider Active NPI

Sarah Hall Hahn, MS, CCC-SLP

  • Speech-Language Pathologist
  • Conway, AR
National Provider Identifier
1558415778
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2241 Issued in AR
Practice address
1308 Oak St Unit B
Conway, AR 72034-5339
Phone
(501) 764-7964
Fax
(501) 932-6379
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 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 SP2241 AR Primary

Addresses

Primary practice location

1308 Oak St Unit B
Conway, AR 72034-5339

Mailing address

26 Lexington Dr
Conway, AR 72034-3325
Phone (501) 339-4444

Other identifiers 2

IdentifierTypeStateIssuer
159611721MedicaidAR
216856795MedicaidAR

Other names 1

  • Ms. Sarah Anne Hall 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP2241ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creating Change Therapy PLLC Speech-Language Pathologist CurrentSince Nov 15, 2020 Accepting new patients

Locations

1308 Oak St
Unit B
Conway, AR 72034
Phone (501) 764-7964

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1558415778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LEXINGTON DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343325",
            "telephone_number": "501-339-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 OAK ST UNIT B",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345339",
            "telephone_number": "501-764-7964",
            "fax_number": "501-932-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "SARAH",
        "middle_name": "HALL",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP2241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159611721",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216856795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "HALL",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.