Active NPI
Pamela Hanna, SLP
- Speech-Language Pathologist
- Waco, TX
National Provider Identifier
1649304106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16674
- Practice address
- 4900 Sanger Ave
Waco, TX 76710-5866 - Phone
- (254) 848-6284
- Fax
- (254) 848-4193
- NPI assigned
- Mar 15, 2007
- Last updated
- Jan 14, 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 | 16674 | TX | Primary |
Addresses
Primary practice location
4900 Sanger Ave
Waco, TX 76710-5866
Mailing address
2110 W 3Rd St
Clifton, TX 76634-1138
Phone (254) 498-4970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211226001 | Medicaid | TX |
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 |
|---|---|---|---|
| 16674 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Pediatric Rehab, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba A Plus Pediatrics Rehab
- Rehabilitation Clinic/Center
- San Antonio, TX
- NPI 1497997019
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1649304106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 W 3RD ST",
"city": "CLIFTON",
"state": "TX",
"postal_code": "766341138",
"telephone_number": "254-498-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SANGER AVE",
"city": "WACO",
"state": "TX",
"postal_code": "767105866",
"telephone_number": "254-848-6284",
"fax_number": "254-848-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "PAMELA",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "16674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211226001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.