Active NPI
Felecia Lashawn Dudley, OTR
- Occupational Therapist
- Inglewood, CA
National Provider Identifier
1235105578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 1795
- Practice address
- 333 E Hazel St
Unit #2
Inglewood, CA 90302-3125 - Phone
- (310) 671-4012
- NPI assigned
- Feb 27, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 1795 | CA | Primary |
Addresses
Primary practice location
333 E Hazel St
Unit #2
Inglewood, CA 90302-3125
Mailing address
333 E Hazel St
Unit #2
Inglewood, CA 90302-3125
Phone (310) 671-4012
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 1795 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolandheights Care Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1932158540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235105578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E HAZEL ST",
"address_2": "UNIT #2",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903023125",
"telephone_number": "310-671-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E HAZEL ST",
"address_2": "UNIT #2",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903023125",
"telephone_number": "310-671-4012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "FELECIA",
"middle_name": "LASHAWN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 1795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
- Dual Diagnosis Assessment and Treatment Center, Inc.
- Dual Diagnosis Assessment and Treatment Center, Inc.
- Dual Diagnosis Assessment and Treatment Center, Inc.
- Dual Diagnosis Assessment and Treatment Center, Inc.
- Jason Marc Dubois
- Kertia Duga
- Vikia G Dupree
- Kathy Duron
- Meghan M Duron, AGACNP
- Shaniqua Rogers Durrett, REGISTERED NURSE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.