Active NPI
Lauren Hudson
- Speech-Language Pathologist
- Fayetteville, AR
National Provider Identifier
1508391301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#P9092
- Practice address
- 214 N Florene St
Fayetteville, AR 72704-5705 - Phone
- (713) 470-7471
- NPI assigned
- Apr 29, 2017
- 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 | SP#P9092 | AR | Primary |
Addresses
Primary practice location
214 N Florene St
Fayetteville, AR 72704-5705
Mailing address
214 N Florene St
Fayetteville, AR 72704-5705
Phone (713) 470-7471
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 |
|---|---|---|---|
| SP#P9092 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493424000000",
"number": "1508391301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 N FLORENE ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045705",
"telephone_number": "713-470-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 N FLORENE ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045705",
"telephone_number": "713-470-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-29",
"last_updated": "2017-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#P9092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.