Athena Hagerty, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP20818 Issued in CA

Practice address

883 Belden St Apt 4
Monterey, CA 93940-1168

Phone

(602) 460-9524

NPI assigned

Sep 26, 2016

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Boca Grande Speech Therapy Inc

  • Speech-Language Pathologist
  • Monterey, CA
  • NPI 1699225334
  NPD (past) Authorized official

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1669921060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 BELDEN ST APT 4",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401168",
            "telephone_number": "602-460-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 BELDEN ST APT 4",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401168",
            "telephone_number": "602-460-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "ATHENA",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP20818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ha, DMD,MSD
• Erik Frank Haag, DC
• Sattar A Hadi, MD
• Erika Hadley, PT, DPT
• John Hage, M.D.
• Xiaoxiao Shen Haigler
• Avery Haines
• Jeffrey Lee Haium, DMD, ABGD
• Shinkai Hakimi, M.D.
• Geneva Hall

• Speech-Language Pathologist in Monterey, CA
• Providers in Monterey, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.