Individual provider Active NPI

Joy Rudder-Wells, S.L.P.

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1174958722
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6637 Issued in NC
Practice address
422 Clearbrook Dr
Wilmington, NC 28409-5918
Phone
(910) 431-7092
Fax
(910) 256-8560
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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 6637 NC Primary

Addresses

Primary practice location

422 Clearbrook Dr
Wilmington, NC 28409-5918

Mailing address

422 Clearbrook Dr
Wilmington, NC 28409-5918
Phone (910) 431-7092

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6637NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home Therapy Franchising, LLC Speech-Language Pathologist PastSince Feb 2, 2020 Accepting new patients
Coastal Speech and Reading Center Speech-Language Pathologist PastSince Jan 1, 2020 Accepting new patients

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": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1174958722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 CLEARBROOK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284095918",
            "telephone_number": "910-431-7092",
            "fax_number": "910-256-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 CLEARBROOK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284095918",
            "telephone_number": "910-431-7092",
            "fax_number": "910-256-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDER-WELLS",
        "first_name": "JOY",
        "credential": "S.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.