Individual provider Active NPI

Natalie Suzanne Hardage, SLP

  • Speech-Language Pathologist
  • Lytle, TX
National Provider Identifier
1881988418
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106683 Issued in TX
Practice address
19965 FM 3175
Lytle, TX 78052-3481
Phone
(210) 357-0395
Fax
(830) 709-5493
NPI assigned
May 31, 2011
Last updated
May 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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 106683 TX Primary

Addresses

Primary practice location

19965 FM 3175
Lytle, TX 78052-3481

Mailing address

PO Box 725
Lytle, TX 78052-0725
Phone (210) 357-0395

Other identifiers 1

IdentifierTypeStateIssuer
106683OtherTXLICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Speech Solutions, PLLC Speech-Language Pathologist Current Accepting new patients
Camino Real Community MHMR Center Past Accepting new patients

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1881988418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780520725",
            "telephone_number": "210-357-0395",
            "fax_number": "830-709-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19965 FM 3175",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780523481",
            "telephone_number": "210-357-0395",
            "fax_number": "830-709-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDAGE",
        "first_name": "NATALIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "106683",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lytle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.