Active NPI
Kyle Tanner Hulsey, SLP
- Speech-Language Pathologist
- Fayetteville, NC
National Provider Identifier
1275650889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6003
- Practice address
- 519 Beaumont Rd
Fayetteville, NC 28304-4424 - Phone
- (910) 257-2005
- Fax
- (910) 485-6315
- NPI assigned
- Mar 26, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6003 | NC | Primary |
Addresses
Primary practice location
519 Beaumont Rd
Fayetteville, NC 28304-4424
Mailing address
519 Beaumont Rd
Fayetteville, NC 28304-4424
Phone (910) 257-2005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7412109 | Medicaid | NC | |
| 136G8 | Other | NC | BLUE CROSS BLUE SHEILD |
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 |
|---|---|---|---|
| 6003 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulsey Speech Pathology Associates | Speech-Language Pathologist | Past | Accepting new patients |
| Hulsey Speech Pathology Associates | Past | 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.
-
- Speech-Language Pathologist
- Fayetteville, NC
- NPI 1235206848
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1396863932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1275650889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 BEAUMONT RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044424",
"telephone_number": "910-257-2005",
"fax_number": "910-485-6315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 BEAUMONT RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044424",
"telephone_number": "910-257-2005",
"fax_number": "910-485-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSEY",
"first_name": "KYLE",
"middle_name": "TANNER",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "6003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412109",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "136G8",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
- Stephanie Anne Hughes, D.O.
- Tashonda Hughes
- Wiley Edgar Hughes, LCMHC, PSY.D., D.MIN
- Hulsey Speech Pathology Associates
- Hulsey Speech Pathology Associates
- Humans United Giving Greater Services
- Deniece Nicole Humphrey
- Lindsay Humphrey, NP
- Nellie Humphreys-Lowry, LCASA
- Cynthia Evette P Humphries, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.