Individual provider Active NPI

Doris Renee Hale, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Port Arthur, TX
National Provider Identifier
1861484313
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19448 Issued in TX
Practice address
2660 Aero Dr
Port Arthur, TX 77640-1528
Phone
(409) 729-2227
Fax
(409) 729-2001
NPI assigned
Aug 19, 2005
Last updated
May 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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 19448 TX Primary

Addresses

Primary practice location

2660 Aero Dr
Port Arthur, TX 77640-1528

Mailing address

2660 Aero Dr
Port Arthur, TX 77640-1528
Phone (409) 729-2227

Other identifiers 5

IdentifierTypeStateIssuer
87806TOtherTXBLUE CROSS BLUE SHIELD-TX
15476OtherTXUTMB-CHIPS
005838001MedicaidTX
0933135OtherTXCIGNA HEALTHCARE OF TX
746012298001OtherTXHUMANA MILITARY HEALTHCAR

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
19448TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Capland Center for Communication Disorders, Inc. Speech-Language Pathologist Current Accepting new patients
Capland Center for Communication Disorders, Inc. Current Accepting new patients

Locations

2660 Aero Dr
Port Arthur, TX 77640
Phone (409) 729-2227

Organizations & group practices 2

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1861484313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 AERO DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401528",
            "telephone_number": "409-729-2227",
            "fax_number": "409-729-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 AERO DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401528",
            "telephone_number": "409-729-2227",
            "fax_number": "409-729-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "DORIS",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD-TX",
            "identifier": "87806T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTMB-CHIPS",
            "identifier": "15476",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005838001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE OF TX",
            "identifier": "0933135",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA MILITARY HEALTHCAR",
            "identifier": "746012298001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.