Individual provider Active NPI

Patricia Hall, MS, CCC/SLP

  • Speech-Language Pathologist
  • Bardstown, KY
National Provider Identifier
1659705309
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1348 Issued in KY
Practice address
310 South 6TH Street
Bardstown, KY 40004
Phone
(502) 550-3534
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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 1348 KY Primary

Addresses

Primary practice location

310 South 6TH Street
Bardstown, KY 40004

Mailing address

310 South 6TH Street
Bardstown, KY 40004
Phone (502) 550-3534

Other practice location 1

3214 Patricia Dr
Louisville, KY 40216-3418
Phone (502) 550-3534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906002051 KY Practitioner - Qualified Speech Language Pathologist 4587993175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1348KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Communication Speech-Language Pathologist CurrentSince Jul 15, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1659705309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SOUTH 6TH STREET",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-550-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SOUTH 6TH STREET",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "40004",
            "telephone_number": "502-550-3534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3214 Patricia Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402163418",
            "country_code": "US",
            "telephone_number": "502-550-3534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "PATRICIA",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "1348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.