Active NPI
Hallie Bulkin, MA, CCC-SLP
- Speech-Language Pathologist
- N Bethesda, MD
National Provider Identifier
1780022392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06297
- Practice address
- 11908 Bristol Manor CT
N Bethesda, MD 20852-5804 - Phone
- (301) 943-0920
- Fax
- (240) 206-3250
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 06297 | MD | Primary |
Addresses
Primary practice location
11908 Bristol Manor CT
N Bethesda, MD 20852-5804
Mailing address
11908 Bristol Manor CT
N Bethesda, MD 20852-5804
Phone (301) 943-0920
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP000657 | Other | DC | DC BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY |
| 12112853 | Other | MD | ASHA # |
| 06297 | Other | MD | MARYLAND STATE LICENSE IN SPEECH LANGUAGE PATHOLOGY |
Other names 1
- Hallie Freedman
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06297 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Sprout Speech, LLC | Past | 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.
-
- Early Intervention Provider Agency
- North Bethesda, MD
- NPI 1972903359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1780022392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11908 BRISTOL MANOR CT",
"city": "N BETHESDA",
"state": "MD",
"postal_code": "208525804",
"telephone_number": "301-943-0920",
"fax_number": "240-206-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11908 BRISTOL MANOR CT",
"city": "N BETHESDA",
"state": "MD",
"postal_code": "208525804",
"telephone_number": "301-943-0920",
"fax_number": "240-206-3250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULKIN",
"first_name": "HALLIE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY",
"identifier": "SLP000657",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA #",
"identifier": "12112853",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND STATE LICENSE IN SPEECH LANGUAGE PATHOLOGY",
"identifier": "06297",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HALLIE",
"last_name": "FREEDMAN",
"credential": "MA, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in N Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.