Alaska Diversified Speech LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242 Issued in AK

Legal business name

ALASKA DIVERSIFIED SPEECH LLC

Practice address

201 E 54TH Ave Ste 207
Anchorage, AK 99518-1202

Phone

(907) 301-3396

Fax

(907) 561-3522

NPI assigned

Sep 27, 2008

Last updated

Jul 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Mae Hanson, MA/CCC SLPNPI 1710152129

Title

Owner/Speech Therapist

Phone

(907) 301-3396

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca M Hanson, MA/CCC-SLP

  • Speech-Language Pathologist
  • Anchorage, AK
  • NPI 1710152129
  NPD (past) Authorized official

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1871743799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 54TH AVE STE 207",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181202",
            "telephone_number": "907-301-3396",
            "fax_number": "907-561-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 54TH AVE STE 207",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181202",
            "telephone_number": "907-301-3396",
            "fax_number": "907-561-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA DIVERSIFIED SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-27",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/SPEECH THERAPIST",
        "authorized_official_telephone_number": "907-301-3396",
        "authorized_official_credential": "MA/CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP8687",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaska Dentistry for Kids, LLC
• Alaska Dialysis - Laurel Street, LLC
• Alaska Digestive and Liver Disease, LLC
• Alaska Digestive Center, LLC
• Alaska Dinner Factory, Inc.
• Alaska Ear Nose & Throat, Inc
• Alaska Ehealth Network (healtheConnect Alaska)
• Alaska Emergency Medicine Associates
• Alaska Endodontic Specialists LLC
• Alaska Eye Care Centers, Apc

• Speech-Language Pathologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.