Active NPI
Tina H Haydel, CCC-SLP
- Speech-Language Pathologist
- Hammond, LA
National Provider Identifier
1972829448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2208
- Practice address
- 17391 Briarwood Dr
Hammond, LA 70401-3724 - Phone
- (703) 888-8397
- NPI assigned
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 2208 | LA | Primary |
Addresses
Primary practice location
17391 Briarwood Dr
Hammond, LA 70401-3724
Mailing address
17391 Briarwood Dr
Hammond, LA 70401-3724
Phone (703) 888-8397
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2208 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1972829448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17391 BRIARWOOD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704013724",
"telephone_number": "703-888-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17391 BRIARWOOD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704013724",
"telephone_number": "703-888-8397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEL",
"first_name": "TINA",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "2208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.