Matthew Ryan Hailey, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14311079 Issued in TN

Practice address

103 Breaker Cir
Brentwood, TN 37027-1803

Phone

(615) 772-3261

NPI assigned

Jun 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1669049979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 HEIRLOOM DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BREAKER CIR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271803",
            "telephone_number": "615-772-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEY",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "14311079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karol Hagen-Pilkinton, MA CCC-SLP
• Christopher Hager, MD
• Rebekah Marie Haggard, MD
• Siavash Haghighi
• Chase Hahn, OD
• Kylie Haines, LCSW
• Blake Thomas Hale
• Mary Hale, LPC/MHSP
• Mason Hale, TEMP. LPC-MHSP
• Jada Sharlaena Haleem

• Speech-Language Pathologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.