Hannah Wallace, M.ED, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22005554A Issued in IN

Practice address

1079 Alexis Ave NE
Corydon, IN 47112

Phone

(812) 596-0047

NPI assigned

Apr 17, 2013

Last updated

May 15, 2018By the provider in NPPES

Sex

Female

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

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education, Master of Science

Practice roles

Locations

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.

• Small Talk Inc

  • Speech-Language Pathologist
  • New Albany, IN
  • NPI 1609533256
  Medicare reassignment NPD Authorized official
• Small Talk Inc

  • Speech-Language Pathologist
  • New Albany, IN
  • NPI 1982361507
  Authorized official Same address or phone
• Active Athlete Sports Medicine PSC

  • Sports Medicine (Family Medicine) Physician
  • New Albany, IN
  • NPI 1699920272
  NPD (past)

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1770927030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 ALEXIS AVE NE",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471128402",
            "telephone_number": "812-596-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 ALEXIS AVE NE",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "47112",
            "telephone_number": "812-596-0047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4240 Bussabarger Rd SW",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471126464",
            "country_code": "US",
            "telephone_number": "812-738-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "M.ED, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005554A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isreal Kirk Wakefield Sr., PMHNP-BC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0922)
• Wal-Mart Stores East, LP (Vision Center 30-0922)
• Elizabeth Walden-Fisher, MSW
• Walgreen Co (Walgreens #10559)
• Rosa Jean Warren, NURSE PRACTITIONER
• Rachel Lynn Washington, LSW, LCADC
• Rachel L Wate, N.P.
• Adam Waters, PTA
• Keith Lloyd Wein, D.C.

• Speech-Language Pathologist in Corydon, IN
• Providers in Corydon, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.