Active NPI
Linse L Hawks, MS/CCC-SLP
- Speech-Language Pathologist
- Republic, MO
National Provider Identifier
1962223636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2002000997
- Practice address
- 636 N Main Ave
Republic, MO 65738 - Phone
- (417) 732-3605
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2002000997 | MO | Primary |
Addresses
Primary practice location
636 N Main Ave
Republic, MO 65738
Mailing address
13787 West Farm Road 116
Ash Grove, MO 65604
Phone (641) 780-8152
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2002000997 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1962223636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13787 WEST FARM ROAD 116",
"city": "ASH GROVE",
"state": "MO",
"postal_code": "65604",
"telephone_number": "641-780-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 N MAIN AVE",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "65738",
"telephone_number": "417-732-3605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKS",
"first_name": "LINSE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MS/CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2002000997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Republic, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.