Active NPI
Ashlee Nikole Dudley, SLP
- Speech-Language Pathologist
- Ashland, KY
National Provider Identifier
1104108604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1461
- Practice address
- 12862 Ky-180
Ashland, KY 41102 - Phone
- (606) 928-5805
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4396142316 | KY | |
| Speech-Language Pathologist | 235Z00000X | SLP-1461 | WV | Primary |
Addresses
Primary practice location
12862 Ky-180
Ashland, KY 41102
Mailing address
2150 Carter Ave
Ashland, KY 41101-7734
Phone (502) 303-8634
Other practice location 1
1 John Marshall Dr.
Marshall University Speech and Hearing Center
Huntington, WV 25755
Phone (304) 696-3641
Other names 1
- Ashlee Nikole Fraley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashlee.dudley@cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1461 | WV | MD | Occupational Therapist |
| 4396142316 | KY | MD | Speech-Language Pathologist |
| SLP-1461 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall University | Speech-Language Pathologist | Current | Accepting new patients |
| University Physicians & Surgeons, Inc | Past | Accepting new patients |
Locations
1 John Marshall Dr
#143
Huntington, WV 25755
Phone (304) 696-3641
1 John Marshall Dr
Huntington, WV 25755
Phone (304) 696-3170
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Huntington, WV
- NPI 1407917271
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1730183286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104108604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 CARTER AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017734",
"telephone_number": "502-303-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12862 KY-180",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41102",
"telephone_number": "606-928-5805"
}
],
"practiceLocations": [
{
"address_1": "1 John Marshall Dr.",
"address_2": "Marshall University Speech and Hearing Center",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "25755",
"country_code": "US",
"telephone_number": "304-696-3641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUDLEY",
"first_name": "ASHLEE",
"middle_name": "NIKOLE",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2022-07-21",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "4396142316",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WV",
"license": "SLP-1461",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ashlee.dudley@cernerdirect.com",
"affiliation": "N",
"address_1": "1600 Medical Center Dr Ste 3500",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257013655",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ASHLEE",
"last_name": "FRALEY",
"middle_name": "NIKOLE",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.