Individual provider Active NPI

Rebecca H Haas, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Jackson, MS
National Provider Identifier
1982654570
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S3729 Issued in MS
Practice address
5345 Canton Heights Dr
Jackson, MS 39211-4518
Phone
(912) 441-9573
Fax
(888) 766-7479
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP005804 GA
Speech-Language Pathologist 235Z00000X S3729 MS Primary

Addresses

Primary practice location

5345 Canton Heights Dr
Jackson, MS 39211-4518

Mailing address

5345 Canton Heights Dr
Jackson, MS 39211-4518
Phone (912) 441-9573

Other identifiers 1

IdentifierTypeStateIssuer
322067831AMedicaidGA

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
SLP005804GAMDSpeech-Language Pathologist
S3729MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Talking With Toddlers, LTD. Speech-Language Pathologist Past Accepting new patients
Drayer Physical Therapy Mississippi LLC Past Accepting new patients
Drayer Physical Therapy Institute LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1982654570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 CANTON HEIGHTS DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114518",
            "telephone_number": "912-441-9573",
            "fax_number": "888-766-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 CANTON HEIGHTS DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114518",
            "telephone_number": "912-441-9573",
            "fax_number": "888-766-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "REBECCA",
        "middle_name": "H",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005804",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322067831A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.