Tiffany Deanne Hawkins-Hall, CCC-SLP

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

12103667 Issued in LA

Practice address

1510 Elm St
Bastrop, LA 71220-5915

Phone

(225) 588-7505

Fax

(833) 466-1805

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hawkins Adult Day Healthcare Inc

  • Developmentally Disabled Services Day Training Agency
  • Bastrop, LA
  • NPI 1104655646
  NPD Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1992821987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ELM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205915",
            "telephone_number": "225-273-9708",
            "fax_number": "318-641-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 ELM ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205915",
            "telephone_number": "225-588-7505",
            "fax_number": "833-466-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS-HALL",
        "first_name": "TIFFANY",
        "middle_name": "DEANNE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "4627",
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "LA",
            "license": "12103667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhan Harris
• Marcus Harris
• Roblean Harris
• Tara Harris
• Hawkins Adult Day Healthcare Inc
• Latonya Hawkins
• Tamatha Yvette Hawkins, NP
• Randle B Hawthorne, D.C.
• Kristal Atkins Hayman, LPC-S, NCC
• Healthy Minds

• Day Training/Habilitation Specialist in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Day Training/Habilitation Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.