Individual provider Active NPI

Cassie Hatala, SLP

  • Speech-Language Pathologist
  • Burgaw, NC
National Provider Identifier
1982396321
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30001735 Issued in NC
Practice address
101 E Satchwell St.
Burgaw, NC 28425
Phone
(910) 300-6150
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 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 30001735 NC Primary

Addresses

Primary practice location

101 E Satchwell St.
Burgaw, NC 28425

Mailing address

PO Box 662
Burgaw, NC 28425-0662

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

LicenseStateTypeSpecialty
30001735NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pender Pediatric Therapy, PC Speech-Language Pathologist CurrentSince May 28, 2023 Accepting new patients

Locations

101 E Satchwell St
Burgaw, NC 28425
Phone (336) 317-4785

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1982396321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284250662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SATCHWELL ST.",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "28425",
            "telephone_number": "910-300-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATALA",
        "first_name": "CASSIE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.