Active NPI
Destaney Channell Hawkins, SLP
- Speech-Language Pathologist
- Baton Rouge, LA
National Provider Identifier
1982258018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8101
- Practice address
- 1805 College Dr
Baton Rouge, LA 70808-1919 - Phone
- (225) 923-3420
- Fax
- (225) 922-9316
- NPI assigned
- Jul 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 115891 | TX | |
| Speech-Language Pathologist | 235Z00000X | 8101 | LA | Primary |
Addresses
Primary practice location
1805 College Dr
Baton Rouge, LA 70808-1919
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 923-3420
Other practice location 1
11830 Northpointe Blvd
Tomball, TX 77377-5536
Phone (281) 205-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TDLR | Other | TX | 115891 |
| 14241575 | Other | ASHA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115891 | TX | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1982258018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-923-3420",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 COLLEGE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708081919",
"telephone_number": "225-923-3420",
"fax_number": "225-922-9316"
}
],
"practiceLocations": [
{
"address_1": "11830 Northpointe Blvd",
"address_purpose": "LOCATION",
"city": "Tomball",
"state": "TX",
"postal_code": "773775536",
"country_code": "US",
"telephone_number": "281-205-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKINS",
"first_name": "DESTANEY",
"middle_name": "CHANNELL",
"name_prefix": "Miss",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "115891",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "8101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "115891",
"identifier": "TDLR",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "14241575",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.