Individual provider Active NPI

Ashlee Nikole Dudley, SLP

  • Speech-Language Pathologist
  • Ashland, KY
National Provider Identifier
1104108604
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1461 Issued in WV
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashlee.dudley@cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103001564 WV Practitioner - Qualified Speech Language Pathologist 2466886270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1461WVMDOccupational Therapist
4396142316KYMDSpeech-Language Pathologist
SLP-1461WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall University Speech-Language Pathologist CurrentSince Jan 1, 2023 Accepting new patients
University Physicians & Surgeons, Inc PastSince Jan 1, 2023 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.

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.

Verify at the official NPI Registry.