Active NPI
Ikeisha Nicole Hudson, M.S., CCC-SLP
- Speech-Language Pathologist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 103299
- Practice address
- 1725 Crescent Plaza Dr
#1213
Houston, TX 77077-2484 - Phone
- (281) 905-5786
- NPI assigned
- Jul 10, 2009
- 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 | 103299 | TX | Primary |
Addresses
Primary practice location
1725 Crescent Plaza Dr
#1213
Houston, TX 77077-2484
Mailing address
1725 Crescent Plaza Dr
#1213
Houston, TX 77077-2484
Phone (281) 905-5786
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103299 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services TX LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671
13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267
6327 Cypresswood Dr
Spring, TX 77379
Phone (281) 374-1750
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.
-
- Physical Therapist
- Allen, TX
- NPI 1710582580
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1477782464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 CRESCENT PLAZA DR",
"address_2": "#1213",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770772484",
"telephone_number": "281-905-5786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 CRESCENT PLAZA DR",
"address_2": "#1213",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770772484",
"telephone_number": "281-905-5786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "IKEISHA",
"middle_name": "NICOLE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-10",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "103299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.