Active NPI
Madison Dulin
- Speech-Language Pathologist
- Southaven, MS
National Provider Identifier
1710575048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14275682
- Practice address
- 5271 Getwell Rd Ste a
Southaven, MS 38672-9608 - Phone
- (662) 349-3512
- NPI assigned
- Jan 3, 2021
- 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 | 14275682 | MS | Primary |
Addresses
Primary practice location
5271 Getwell Rd Ste a
Southaven, MS 38672-9608
Mailing address
7169 Swinnea RDG N
Southaven, MS 38671-6023
Phone (901) 598-7796
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 |
|---|---|---|---|
| 14275682 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609632000000",
"number": "1710575048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7169 SWINNEA RDG N",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386716023",
"telephone_number": "901-598-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5271 GETWELL RD STE A",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386729608",
"telephone_number": "662-349-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULIN",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-03",
"last_updated": "2021-01-03",
"certification_date": "2021-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "14275682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.