Individual provider Active NPI

Ruth Elaine Van Hasselt, SLP

  • Speech-Language Pathologist
  • Escondido, CA
National Provider Identifier
1790107415
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SC 85729 Issued in CA
Practice address
2119 Valley Rim GLN
Escondido, CA 92026-3839
Phone
(760) 290-3530
NPI assigned
Jan 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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 SC 85729 CA Primary

Addresses

Primary practice location

2119 Valley Rim GLN
Escondido, CA 92026-3839

Mailing address

2119 Valley Rim GLN
Escondido, CA 92026-3839
Phone (760) 290-3530

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
SC 85729CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1790107415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 VALLEY RIM GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263839",
            "telephone_number": "760-290-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 VALLEY RIM GLN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263839",
            "telephone_number": "760-290-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HASSELT",
        "first_name": "RUTH",
        "middle_name": "ELAINE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SC 85729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

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

Verify at the official NPI Registry.