Individual provider Active NPI

Amelia Hutto, M.S., CFY-SLP

  • Speech-Language Pathologist
  • Foxworth, MS
National Provider Identifier
1740674332
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
250583 Issued in MS
Practice address
285 Holmes Pittman Rd
Foxworth, MS 39483-3166
Phone
(601) 736-3111
Fax
(601) 444-5036
NPI assigned
Mar 23, 2015
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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 250583 MS Primary

Addresses

Primary practice location

285 Holmes Pittman Rd
Foxworth, MS 39483-3166

Mailing address

285 Holmes Pittman Rd
Foxworth, MS 39483-3166
Phone (601) 736-3111

Other identifiers 2

IdentifierTypeStateIssuer
250583OtherMSSTATE OF MISSISSIPPI EDUCATOR LICENSE
S3946OtherMSMISSISSIPPI STATE DEPARTMENT OF HEALTH LICENSE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
250583MSMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1740674332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 HOLMES PITTMAN RD",
            "city": "FOXWORTH",
            "state": "MS",
            "postal_code": "394833166",
            "telephone_number": "601-736-3111",
            "fax_number": "601-444-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HOLMES PITTMAN RD",
            "city": "FOXWORTH",
            "state": "MS",
            "postal_code": "394833166",
            "telephone_number": "601-736-3111",
            "fax_number": "601-444-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTO",
        "first_name": "AMELIA",
        "credential": "M.S., CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "250583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSISSIPPI EDUCATOR LICENSE",
            "identifier": "250583",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE DEPARTMENT OF HEALTH LICENSE",
            "identifier": "S3946",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxworth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.