Individual provider Active NPI

Gloria Amber Hazen

  • Speech-Language Pathologist
  • Blue Springs, MO
National Provider Identifier
1730221185
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2003014702 Issued in MO
Practice address
2133 NW 13TH St
Blue Springs, MO 64015-7734
Phone
(816) 224-0003
Fax
(816) 224-2199
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2003014702 MO Primary

Addresses

Primary practice location

2133 NW 13TH St
Blue Springs, MO 64015-7734

Mailing address

1307 S Ann Ave
Independence, MO 64057-1235
Phone (816) 719-6249

Other names 1

  • Gloria Amber Miller Other name

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
2003014702MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Chang, R.P.T., P.C. Speech-Language Pathologist Past Accepting new patients
Paul Chang, R.P.T. P.C. Past 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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730221185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S ANN AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571235",
            "telephone_number": "816-719-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 NW 13TH ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640157734",
            "telephone_number": "816-224-0003",
            "fax_number": "816-224-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEN",
        "first_name": "GLORIA",
        "middle_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2003014702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "MILLER",
            "middle_name": "AMBER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.