Individual provider Active NPI

Emma Cagney Nuyen

  • Speech-Language Pathologist
  • Fuquay Varina, NC
National Provider Identifier
1497595300
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30003765 Issued in NC
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

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7101009381MIMDSpeech-Language Pathologist
30003765NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shining Stars Therapy, PA PastSince May 11, 2025 Accepting new patients
Shining Stars Therapy, PA PastSince May 11, 2025 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.

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

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.

Verify at the official NPI Registry.