Individual provider Active NPI

Janet Kathleen Dudley, CCC-SLP

  • Speech-Language Pathologist
  • Chula Vista, CA
National Provider Identifier
1376713545
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12244 Issued in CA
Practice address
2538 Catamaran Way
Chula Vista, CA 91914-4532
Phone
(619) 591-9552
Fax
(888) 615-0309
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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 12244 CA Primary

Addresses

Primary practice location

2538 Catamaran Way
Chula Vista, CA 91914-4532

Mailing address

2538 Catamaran Way
Chula Vista, CA 91914-4532
Phone (619) 591-9552

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

LicenseStateTypeSpecialty
12244CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Social Communication Specialists Speech Therapy Clinic, Apc 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1376713545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 CATAMARAN WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144532",
            "telephone_number": "619-591-9552",
            "fax_number": "888-615-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2538 CATAMARAN WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144532",
            "telephone_number": "619-591-9552",
            "fax_number": "888-615-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "JANET",
        "middle_name": "KATHLEEN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.