Active NPI
Emma Cagney Nuyen
- Speech-Language Pathologist
- Fuquay Varina, NC
National Provider Identifier
1497595300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30003765
- Practice address
- 304 Judd Place Dr
Fuquay Varina, NC 27526-2386 - Phone
- (919) 557-8305
- NPI assigned
- May 29, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101009381 | MI | |
| Speech-Language Pathologist | 235Z00000X | 30003765 | NC | Primary |
Addresses
Primary practice location
304 Judd Place Dr
Fuquay Varina, NC 27526-2386
Mailing address
117 Boone Lake Way
Fuquay Varina, NC 27526-3227
Phone (269) 650-0682
Other practice location 1
1001 Laurence Ave
Jackson, MI 49202-2979
Phone (517) 750-4777
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 |
|---|---|---|---|
| 7101009381 | MI | MD | Speech-Language Pathologist |
| 30003765 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shining Stars Therapy, PA | Past | Accepting new patients | |
| Shining Stars Therapy, PA | 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.
-
- Pediatric Occupational Therapist
- Fuquay Varina, NC
- NPI 1124258785
-
- Developmental Therapist
- Fuquay Varina, NC
- NPI 1245534338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1497595300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 BOONE LAKE WAY",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275263227",
"telephone_number": "269-650-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 JUDD PLACE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262386",
"telephone_number": "919-557-8305"
}
],
"practiceLocations": [
{
"address_1": "1001 Laurence Ave",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492022979",
"country_code": "US",
"telephone_number": "517-750-4777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUYEN",
"first_name": "EMMA",
"middle_name": "CAGNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101009381",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
- No Place Like Home Senior Services
- North Carolina CVS Pharmacy LLC
- North Carolina CVS Pharmacy LLC
- North Carolina Nephrology PA
- Nurtured Balance Wellness, PLLC
- Danielle O'Connell
- Evangeline P Odowd, O.D.
- Patrick A Odowd, OD
- Michael Stanley Ommundsen, PT, DPT
- One Choice Family Care at Holland Glen St
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.