Individual provider Active NPI

Catherine Medd-Dudley

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1649638149
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11210 Issued in NC
Practice address
4032 Bannockburn PL Apt a
Charlotte, NC 28211-4549
Phone
(919) 357-3887
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11210 NC Primary

Addresses

Primary practice location

4032 Bannockburn PL Apt a
Charlotte, NC 28211-4549

Mailing address

2010 Fairchelsea Way LN
Matthews, NC 28105-8801
Phone (919) 357-3887

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Catherine@speechinspirations.com Direct

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
11210NCMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: catherine@speechinspirations.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1649638149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 FAIRCHELSEA WAY LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058801",
            "telephone_number": "919-357-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 BANNOCKBURN PL APT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114549",
            "telephone_number": "919-357-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDD-DUDLEY",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "11210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Catherine@speechinspirations.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4032 Bannockburn Pl Apt A",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282114549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.