Active NPI
Caitlin Sudduth, SLP
- Speech-Language Pathologist
- Fairhope, AL
National Provider Identifier
1255693800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3523
- Practice address
- 212 Hospital Dr
Suite B
Fairhope, AL 36532-2058 - Phone
- (251) 279-1640
- Fax
- (251) 279-1494
- NPI assigned
- Jun 11, 2012
- Last updated
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3523 | AL | Primary |
Addresses
Primary practice location
212 Hospital Dr
Suite B
Fairhope, AL 36532-2058
Mailing address
212 Hospital Dr
Suite B
Fairhope, AL 36532-2058
Phone (251) 279-1640
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3523 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infirmary Therapy Services | 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.
-
- Children's Rehabilitation Hospital
- Fairhope, AL
- NPI 1831415827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1255693800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 HOSPITAL DR",
"address_2": "SUITE B",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322058",
"telephone_number": "251-279-1640",
"fax_number": "251-279-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 HOSPITAL DR",
"address_2": "SUITE B",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322058",
"telephone_number": "251-279-1640",
"fax_number": "251-279-1494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDDUTH",
"first_name": "CAITLIN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
- Strickland Orthodontics, PLLC (Strickland Orthodontics)
- H. L. Strickland Jr., D.D.S.
- Shellie Danielle Strickland, PA-C
- Trevor Malcolm Stubbs, M.D.
- Pariksha Subedi, MD
- Tamatha Sullivan Davidson, MCD CCCA
- Meredith Stewart Sullivan, MSOT, OTR/L
- William F Sullivan, MD
- Joan R Sulzmann, MSW
- Julia Redditt Summerlin, RN, MSN, CS, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.