Individual provider Active NPI

Pam K. Hoyle, MA, CCC-SLP

  • Speech-Language Pathologist
  • Mount Vernon, WA
National Provider Identifier
1992868780
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00001408 Issued in WA
Practice address
720 Main St
Suite 210
Mount Vernon, WA 98273-3830
Phone
(360) 708-1784
Fax
(360) 336-5573
NPI assigned
Dec 19, 2006
Last updated
Jun 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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 LL00001408 WA Primary

Addresses

Primary practice location

720 Main St
Suite 210
Mount Vernon, WA 98273-3830

Mailing address

720 Main St
Suite 210
Mount Vernon, WA 98273-3830
Phone (360) 708-1784

Other identifiers 1

IdentifierTypeStateIssuer
7141229MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090724000312 WA Practitioner - Qualified Speech Language Pathologist 3173676087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

720 Main St
Suite 210
Mount Vernon, WA 98273-3830
Phone (360) 708-1784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hoyle Speech-Language Services P S Speech-Language Pathologist CurrentSince Jul 24, 2009 Accepting new patients

Locations

720 Main St
Ste 210
Mount Vernon, WA 98273
Phone (360) 708-1784

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, 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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1992868780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAIN ST",
            "address_2": "SUITE 210",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733830",
            "telephone_number": "360-708-1784",
            "fax_number": "360-336-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIN ST",
            "address_2": "SUITE 210",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733830",
            "telephone_number": "360-708-1784",
            "fax_number": "360-336-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYLE",
        "first_name": "PAM",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00001408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7141229",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.