Active NPI
Rhonda Jean Sutton, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Dudley, NC
National Provider Identifier
1609943687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1612
- Practice address
- 113 Cedar St
Dudley, NC 28333-9205 - Phone
- (919) 738-0182
- Fax
- (919) 731-9967
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 9, 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 | 1612 | NC | Primary |
Addresses
Primary practice location
113 Cedar St
Dudley, NC 28333-9205
Mailing address
113 Cedar St
Dudley, NC 28333-9205
Phone (919) 738-0182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7458675 | Medicaid | NC |
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 |
|---|---|---|---|
| 1612 | NC | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1609943687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 CEDAR ST",
"city": "DUDLEY",
"state": "NC",
"postal_code": "283339205",
"telephone_number": "919-738-0182",
"fax_number": "919-731-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 CEDAR ST",
"city": "DUDLEY",
"state": "NC",
"postal_code": "283339205",
"telephone_number": "919-738-0182",
"fax_number": "919-731-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTTON",
"first_name": "RHONDA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7458675",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dudley, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.