Individual provider Active NPI

Vivian E Haughton, MS CCC-SLP

  • Speech-Language Assistant
  • Southaven, MS
National Provider Identifier
1972734689
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
S2824 Issued in MS
Practice address
7160 Tchulahoma Rd
BLDG. B Ste.4
Southaven, MS 38671-9266
Phone
(662) 349-2733
Fax
(662) 536-1849
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X S2824 MS Primary

Addresses

Primary practice location

7160 Tchulahoma Rd
BLDG. B Ste.4
Southaven, MS 38671-9266

Mailing address

7160 Tchulahoma Rd
BLDG. B Ste.4
Southaven, MS 38671-9266
Phone (662) 349-2733

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

LicenseStateTypeSpecialty
S2824MSMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Zone, LLC PastSince Apr 30, 2013 Accepting new patients

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1972734689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 TCHULAHOMA RD",
            "address_2": "BLDG. B STE.4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719266",
            "telephone_number": "662-349-2733",
            "fax_number": "662-536-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 TCHULAHOMA RD",
            "address_2": "BLDG. B STE.4",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719266",
            "telephone_number": "662-349-2733",
            "fax_number": "662-536-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHTON",
        "first_name": "VIVIAN",
        "middle_name": "E",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "MS",
            "license": "S2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.