Active NPI
Judy W. Hearne, MCD,CCC-SLP
- Speech-Language Pathologist
- Ocean Springs, MS
National Provider Identifier
1578782736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S0166
- Practice address
- 102 Industrial Park Circle
Ocean Springs, MS 39564-5836 - Phone
- (228) 872-0705
- Fax
- (228) 872-6996
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | S0166 | MS | Primary |
Addresses
Primary practice location
102 Industrial Park Circle
Ocean Springs, MS 39564-5836
Mailing address
102 Industrial Park Cir
Ocean Springs, MS 39564-5836
Phone (228) 872-0705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110640 | Medicaid | MS | |
| 685381 | Other | MS | ACN |
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 |
|---|---|---|---|
| S0166 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578782736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 INDUSTRIAL PARK CIR",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395645836",
"telephone_number": "228-872-0705",
"fax_number": "228-872-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 INDUSTRIAL PARK CIRCLE",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395645836",
"telephone_number": "228-872-0705",
"fax_number": "228-872-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARNE",
"first_name": "JUDY",
"middle_name": "W.",
"name_prefix": "Mrs.",
"credential": "MCD,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S0166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110640",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "685381",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.