Individual provider Active NPI

Hayley O'Hara, MS, CCC-SLP

  • Speech-Language Pathologist
  • Alpharetta, GA
National Provider Identifier
1790313310
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP011022 Issued in GA
Practice address
13417 Region Trce
Alpharetta, GA 30004-5103
Phone
(678) 523-9373
NPI assigned
Mar 30, 2020
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X PCET002895 GA
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X SLP011022 GA Primary

Addresses

Primary practice location

13417 Region Trce
Alpharetta, GA 30004-5103

Mailing address

13417 Region Trce
Alpharetta, GA 30004-5103

Other identifiers 1

IdentifierTypeStateIssuer
1225444821MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hayley@advantagespeech.com Direct ADVANTAGE SPEECH THERAPY SERVICES INC

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 Science

State licenses

LicenseStateTypeSpecialty
PCET002895GAMDSpeech-Language Assistant
SLP011022GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Bridges Therapy Inc Speech-Language Pathologist 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, 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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1790313310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13417 REGION TRCE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13417 REGION TRCE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045103",
            "telephone_number": "678-523-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "HAYLEY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "GA",
            "license": "PCET002895",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225444821",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hayley@advantagespeech.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "ADVANTAGE SPEECH THERAPY SERVICES INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13417 Region Trce",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300045103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.