Active NPI
Sarah Mackenzie Hann
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1609554567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30001662
- Practice address
- 12800 Spruce Tree Way
Raleigh, NC 27614-7077 - Phone
- (856) 313-4037
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 30001662 | NC | Primary |
Addresses
Primary practice location
12800 Spruce Tree Way
Raleigh, NC 27614-7077
Mailing address
2009 Copper Leaf Pkwy Apt 207
Durham, NC 27703-7740
Phone (856) 313-4037
Other practice location 1
10810 Sandy Oak Ln
Raleigh, NC 27614-8386
Phone (856) 313-4037
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 |
|---|---|---|---|
| 30001662 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Language Associates LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
204 Ark Rd
Ste 105C
Mount Laurel, NJ 08054
Phone (856) 492-1355
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.
-
- Speech-Language Pathologist
- Mount Laurel, NJ
- NPI 1760916969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1609554567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 COPPER LEAF PKWY APT 207",
"city": "DURHAM",
"state": "NC",
"postal_code": "277037740",
"telephone_number": "856-313-4037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12800 SPRUCE TREE WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276147077",
"telephone_number": "856-313-4037"
}
],
"practiceLocations": [
{
"address_1": "10810 Sandy Oak Ln",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276148386",
"country_code": "US",
"telephone_number": "856-313-4037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANN",
"first_name": "SARAH",
"middle_name": "MACKENZIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30001662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.