Healthcare Provider Details

I. General information

NPI: 1578292025
Provider Name (Legal Business Name): RACHEL FIELDS HARTNESS M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 SOUTHGATE CORPORATE PARK SW
HICKORY NC
28602-1518
US

IV. Provider business mailing address

1040 SOUTHGATE CORPORATE PARK SW
HICKORY NC
28602-1518
US

V. Phone/Fax

Practice location:
  • Phone: 828-358-3115
  • Fax:
Mailing address:
  • Phone: 828-358-3115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30000691
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30001536
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: