Individual provider Active NPI

Nicole Carbone-Hash, CCC-SLP

  • Speech-Language Pathologist
  • Odessa, DE
National Provider Identifier
1639549207
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202007862 Issued in VA
Practice address
118 S 6TH St
Odessa, DE 19730-2060
Phone
(302) 376-4128
NPI assigned
Sep 25, 2015
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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 2202007862 VA Primary

Addresses

Primary practice location

118 S 6TH St
Odessa, DE 19730-2060

Mailing address

118 S 6TH St
Odessa, DE 19730-2060

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

State licenses

LicenseStateTypeSpecialty
2202007862VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fleming Therapy Services, LLC Speech-Language Pathologist Past Accepting new patients
Appoquinimink School District Speech-Language Pathologist PastSince Sep 12, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1639549207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S 6TH ST",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "197302060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S 6TH ST",
            "city": "ODESSA",
            "state": "DE",
            "postal_code": "197302060",
            "telephone_number": "302-376-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE-HASH",
        "first_name": "NICOLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.