Individual provider Active NPI

Hannah Buckley, SLP-L

  • Speech-Language Pathologist
  • Westminster, MD
National Provider Identifier
1992424790
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
511 Jermor LN Ste 102
Westminster, MD 21157-6152
Phone
(410) 618-1090
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 NU Primary

Addresses

Primary practice location

511 Jermor LN Ste 102
Westminster, MD 21157-6152

Mailing address

511 Jermor LN Ste 102
Westminster, MD 21157-6152
Phone (410) 618-1090

Other practice location 1

511 Jermor Ln Ste 102
Westminster, MD 21157-6152
Phone (410) 618-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207002473 MD Practitioner - Qualified Speech Language Pathologist 4082063672 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10635MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therafit Enterprises, Inc. Speech-Language Pathologist CurrentSince Oct 30, 2023 Accepting new patients
Therafit Enterprises, Inc. Speech-Language Pathologist CurrentSince Oct 30, 2023 Accepting new patients

Locations

1220 E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 415-1992

511 Jermor Ln
Ste 102
Westminster, MD 21157
Phone (410) 415-1992

Organizations & group practices 2

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1992424790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN STE 102",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576152",
            "telephone_number": "410-618-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN STE 102",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576152",
            "telephone_number": "410-618-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Jermor Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211576152",
            "country_code": "US",
            "telephone_number": "410-618-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "HANNAH",
        "credential": "SLP-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.