Kathleen Anne Hanley, M.S. CCC-SLP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0001811 Issued in IA

Practice address

1402 Main St
Manson, IA 50563-5160

Phone

(712) 469-3908

NPI assigned

May 14, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1629337464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 WILLIAMS DR",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017557",
            "telephone_number": "708-269-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 MAIN ST",
            "city": "MANSON",
            "state": "IA",
            "postal_code": "505635160",
            "telephone_number": "712-469-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "001811",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "0001811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Dorage, PTA
• Elizabeth W Stoebe DO PC
• Tabetha J Ernster
• Danielle Ewing
• Paulette M Gleason, ARNP
• Hy-Vee Inc
• Iowa Physicians Clinic Medical Foundation
• Joan Kitten Consulting, PC
• Lenz-Reicks Pharmacy Inc
• Lisa Dee Leppert, F.N.P.

• All providers in Manson, IA
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.