Tessie Hogan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13960 Issued in NC

Practice address

317 S Mulberry St
Statesville, NC 28677-5737

Phone

(941) 586-9416

NPI assigned

Nov 18, 2013

Last updated

Dec 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Theresa Ann Hogan Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hogan Speech Pathology

  • Point of Service
  • Statesville, NC
  • NPI 1316755077
  Medicare reassignment NPD Authorized official
• Tess Hogan SLP, Inc.

  dba Banyan Voice and Speech

  • Speech-Language Pathologist
  • Sarasota, FL
  • NPI 1437663515
  NPD (past)

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1811327455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S MULBERRY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775737",
            "telephone_number": "941-586-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S MULBERRY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775737",
            "telephone_number": "941-586-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "TESSIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11751",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "HOGAN",
            "middle_name": "ANN",
            "credential": "CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shykita Edgerton Hill
• Kristin A Himes, PA-C
• Hogan Speech Pathology
• Chandyn Tranese Hogan, CCC-SLP
• Jane Hogan
• Walter Bowlin Holland, M.D.
• Sherie Hollar, ATC
• Randy Joseph Holleman, DMD
• Ashley Nicole Hollifield, FNP
• Home Again Home Care

• Speech-Language Pathologist in Statesville, NC
• Providers in Statesville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; 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.