Individual provider Active NPI

Hannah Wutzer, MS, CCC-SLP

  • Speech-Language Pathologist
  • Alamogordo, NM
National Provider Identifier
1972247419
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-2023-0082 Issued in NM
Practice address
1451 Galway Dr
Alamogordo, NM 88310-7845
Phone
(575) 437-1967
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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 SLP-2023-0082 NM Primary

Addresses

Primary practice location

1451 Galway Dr
Alamogordo, NM 88310-7845

Mailing address

1809 Indian Wells Rd
Alamogordo, NM 88310-4617
Phone (575) 437-1967

Other names 1

  • Hannah Groth Former 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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP-2023-0082NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallien Inc CurrentSince Apr 20, 2023 Accepting new patients
Speechworks, Inc. Speech-Language Pathologist PastSince Apr 1, 2022 Accepting new patients

Locations

1809 Indian Wells Rd
Alamogordo, NM 88310
Phone (505) 437-1967

1451 Galway Dr
Alamogordo, NM 88310
Phone (575) 437-1967

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1972247419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883104617",
            "telephone_number": "575-437-1967",
            "fax_number": "575-437-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 GALWAY DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883107845",
            "telephone_number": "575-437-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUTZER",
        "first_name": "HANNAH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP-2023-0082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "GROTH",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.