Active NPI
Karen S Hudson, MA CCC SLP
- Speech-Language Pathologist
- Memphis, TN
National Provider Identifier
1336255199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP0000000664
- Practice address
- 711 Jefferson Avenue
Memphis, TN 38105-5003 - Phone
- (901) 448-6511
- Fax
- (901) 448-7097
- NPI assigned
- Aug 22, 2006
- 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 | SP0000000664 | TN | Primary |
Addresses
Primary practice location
711 Jefferson Avenue
Memphis, TN 38105-5003
Mailing address
711 Jefferson Avenue
Memphis, TN 38105-5003
Phone (901) 448-6511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02303013 | Medicaid | MS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP0000000664 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336255199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 JEFFERSON AVENUE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381055003",
"telephone_number": "901-448-6511",
"fax_number": "901-448-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 JEFFERSON AVENUE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381055003",
"telephone_number": "901-448-6511",
"fax_number": "901-448-7097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "KAREN",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "SP0000000664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02303013",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
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.