Individual provider Active NPI

Hannah Mary Herbach, B.S. SLPA

  • Speech-Language Assistant
  • Carlsbad, CA
National Provider Identifier
1922855998
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
7272 Issued in CA
Practice address
2624 El Camino Real Ste B
Carlsbad, CA 92008-1250
Phone
(760) 696-3456
Fax
(760) 696-3458
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X 7272 CA Primary

Addresses

Primary practice location

2624 El Camino Real Ste B
Carlsbad, CA 92008-1250

Mailing address

2250 Avenida Magnifica Apt C
Carlsbad, CA 92008-6866
Phone (951) 463-6242

Other names 1

  • Miss Hannah Mary Herbach Professional name

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
7272CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Speech Therapy CurrentSince May 12, 2024 Accepting new patients

Locations

2624 El Camino Real
Ste B
Carlsbad, CA 92008
Phone (760) 363-3456

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1922855998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 AVENIDA MAGNIFICA APT C",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920086866",
            "telephone_number": "951-463-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 EL CAMINO REAL STE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081250",
            "telephone_number": "760-696-3456",
            "fax_number": "760-696-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBACH",
        "first_name": "HANNAH",
        "middle_name": "MARY",
        "name_prefix": "Miss",
        "credential": "B.S. SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "7272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "HERBACH",
            "middle_name": "MARY",
            "prefix": "MISS",
            "credential": "B.S. SLPA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.