Individual provider Active NPI

Callie Hucks, MS CCC-SLP

  • Speech-Language Pathologist
  • Raleigh, NC
National Provider Identifier
1003541996
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2203281 Issued in NC
Practice address
8402 Six Forks Rd Ste 103
Raleigh, NC 27615-3071
Phone
(919) 219-5277
NPI assigned
Jul 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 2203281 NC Primary

Addresses

Primary practice location

8402 Six Forks Rd Ste 103
Raleigh, NC 27615-3071

Mailing address

10320 Sablewood Dr
Raleigh, NC 27617-7941
Phone (910) 393-7516

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address callie@speech-ts.com Direct

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2203281NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1003541996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 SABLEWOOD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177941",
            "telephone_number": "910-393-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 SIX FORKS RD STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153071",
            "telephone_number": "919-219-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKS",
        "first_name": "CALLIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2203281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "callie@speech-ts.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8402 Six Forks Rd Ste 103",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276153071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.